St. Rose of Lima :: Parish Office

HEALTH & TRADE SHOW
RSVP FORM

Important Note: Please make sure to fill out the MEMO field (type in "CBDN") in the on-line checking form...(see below)

Requirements: CBDN Members only! For new membership, download the application and turn it in to the parish office---click here.

Contact Information

Name:
Address:
City: Zip:
Telephone: Home Work :
Email address

Business Name

Name:

Ad Slogan :

Registration Fee Info

If you wish to give a check on-line, click here. After submiting the check on-line. Complete this registration by writing the check number & account holder's info below.

Full Name:
Check Number :

Do you need to electricity in your booth? Yes or No

Please provide $40 to register for CBDN Health & Trade Show by submitting a check on-line or dropping a check at the parish office.

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