Champ winnie
Registration form
Title :
*
Mr.
Mrs.
Father
Sister
Brother
Monseigneur
Deacon
Last name :
*
First name :
*
My role:
*
- Pilgrimage Director
- Hospitality President
- Participant
House number and street name: :
*
Postal Code :
*
City :
*
Country :
*
Mobile :
*
Email address :
*
Name of your diocese or pilgrimage :
*
Participation in the buffet diner on 9 February at 7.30 pm at the Accueil Notre-Dame :
- Yes
- No
I would like to send a comment :
-
I hereby authorise the Sanctuary of Lourdes to use my postal and email addresses to send me information.
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