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Personal Registration Form
(Do not add others to this list without their consent!)

To add or update your information in our database, please complete the following:

(NOTE:    None of the fields are required, but we appreciate a fully completed form. )

Please provide the following contact information:

Title
First Name
Middle Name
Last Name
Suffix
   
Street Address
Suite / Apt
City
State
Zip/Postal Code
   
Home Phone (___) ___-____
Mobile Phone (___) ___-___
Work Phone (___) ___-___
FAX (___) ___-___

Primary E-mail
Please send E-mail correspondence for this address in the following format:

Plain Text
Rich Text Format (RTF)
HTML ( This includes Outlook & Netscape )

Can we send correspondence to your Primary E-mail account?

Yes No

Secondary E-mail
Please send E-mail correspondence for this address in the following format:

Plain Text
Rich Text Format (RTF)
HTML ( This includes Outlook & Netscape )

Can we send correspondence to your Secondary E-mail account?

Yes No

Do you want us to share your information with other Catholic organizations?

Yes No

Would you like us to forward non-"Fullness of Truth" correspondence to you?

Yes No

I would like to volunteer
(We are especially looking for Parish Contacts to help us promote our events.)
Other:
             (  Only volunteer if your seriously interested in helping this ministry. )

Enter your parish or preferred place(s) of worship: ( Separated by "," )

Any notes or comments that you wish to add to your profile.

   

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This site was last updated Friday, October 1, 2004
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