FRANCISCAN SPIRIT AND LIFE CENTER
PROGRAM REGISTRATION• August 2008– December 2008
YOUR DEPOSIT IN ADVANCE CONFIRMS YOUR REGISTRATION!
NAME _________________________________________________________
PHONE (Home) _________________________________________________
PHONE (Work) _________________________________________________
EMAIL ________________________________________________________
ADDRESS ______________________________________________________
CITY STATE ZIP________________________________________________
PROGRAM NAME _______________________________________________
PROGRAM DATE/S _____________________________________________
FEE/DEPOSIT ENCLOSED $_______________________________________
If this is an overnight program, please list an emergency contact person and phone number.
NAME_________________________________________________________
PHONE (Home) _________________________________________________
PHONE (Work) _________________________________________________
Please send registration form and make check payable to:
Franciscan Spirit & Life Center • 3605 McRoberts Road • Pittsburgh, PA 15234-2340
For more information, contact:
Phone: (412) 881-9207
Email: fslc@osfprov.org
Web: www.osfprov.org
DUPLICATE REGISTRATION FORM AS NEEDED
All deposits are non-refundable.
Giving Opportunities
Copyright 2008
Sisters of St. Francis of the Providence of God
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