Archdiocese of Saint Paul and Minneapolis

Archbishop's Discernment Retreat

Date of Event: November 1 - 3, 2024

Qty

Description

Amount

Total

Archbishop's Discernment Retreat Registration Fee

$100.00

Total: $100.00

Retreat Participant
First Name: *

Retreat Participant
Last Name: *

Retreat Participant Address: *

City: *

State: *

Zip Code: *

Email: *

Cell Phone Number: *

Home Parish: *

Date of Birth: *

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone: *

Email: *

A receipt will be emailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *