Diocese of Springfield in Illinois

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Qty

Description

Amount

Total

National Eucharistic Congress

$200.00

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Please note, children 12 and under can go for free - do not purchase a pass for children 12 and under.

Total: $0.00

Registration Information

First Name: *

Last Name: *

E-mail: *

Phone Number: *

Parish:

Once passes have been purchased through the diocese, you still need to register with the National Eucharistic Congress. Your confirmation email will have the discount code needed and the link to the National Eucharistic Congress website.

Please complete the following information if you have additional guests registering on this same form.

Billing 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:

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *