Religious Education Congress Guidebook Order Form

Registration Guidebook Order Form
for Congress 2011

Please include your mailing information if you would like to receive a Registration Guidebook for 2011, mailed some time in October 2010.

1) Please mail me a Registration Guidebook:

If you provide your name and mailing address we will send a Registration Guidebook for the 2011 Religious Education Congress. (You do not need to fill out this information if you attend RECongress 2010). Required mailing information is in red.) If you provide an email address, you will receive our Congress Emailing updates (September through March, and from which you may opt out at any time).

First Name/Nombre:

Last Name/Apelido:

Company/Organization:

Address/Domicilio:

City/Ciudad:

State/Estado::

FOR THOSE OUTSIDE THE USA: Due to the costs of mailing and delivery times, we ask that you please download the Guidebook when it become available.

Country/País:

ZIP Code/Zona Postal:

Email:

retype your Email:

I attended Congress 2010 (March 2010).

I usually attend Congress.

I have never attended Congress before.

I am also interested in attending Youth Day.

I am also interested in Volunteering at Youth Day.
I am also interested in Volunteering at Congress.

2) Please tell us about yourself (optional)

Name of parish/church to which you belong?

Located in what city?

Within what diocese?

3) What is your interest in the Religious Education Congress? (Check all that apply)

I am a Priest
I am a Religious
I am a Deacon
I am a Director of Religious Education
I am a Parish Catechetical Leader
I am a Religious Education teacher
I am a Catholic schoolteacher
I am a Public schoolteacher
I am an Exhibitor
I am a Volunteer
Other (please specify):

4) Please tell us about your Internet use.

Which browser do you usually use?

Is your primary Internet/Web connection:
At school At work At home Other (please specify):

How much time per week do you spend on the Web?

Let us know if you have any other comments or questions.

Congress Year:

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Registration Guidebook Order Form for Congress 2011

2) Please tell us about yourself (optional)

4) Please tell us about your Internet use.

Registration Guidebook Order Form
for Congress 2011