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Deposit and Full Payment (*required payment of $150 to confirm booking and reserve spot)
Please state the balance amount remaining if you are paying the deposit only. Please find enclosed my payment
for:
Deposit* $150 (due upon booking)
Cheques should be made payable to Danielle Gonsalves. Please write on your cheque Quebec Pilgrimage
and all traveller(s) names. Mail the cheque to Danielle Gonsalves, GTA Catholic Event Organizer,
address 2802 38 Elm St Toronto ON M5G 2K5. Send EMT to danielle@gtacatholic.com Password: Quebec
Pilgrimage. Please give cash directly to Danielle Gonsalves, GTA Catholic Event Organizer.
Full Name(s) Roommate if appropriate:
________________________________________________________________________________________
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Please indicate any medical conditions or special needs we should be aware of (i.e. allergies)
_________________________________________________________________________________________
Person to be notified in case of emergency
Name___________________________________________________________________________________
Phone____________________________Relation________________________________________________
Pick up Location: Square One Missisauga
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Participant Signature
Thank you for completing the registration form. Confirmation of your registration will be made by e-mail.