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Complete this form and click on "Submit" below to register online for the Ministerium, OR .....
Make a copy of the completed form and mail to St. Bernard’s School of Theology & Ministry, 120 French Road, Rochester, NY 14618, Attn: Ellen Morningstar, Registrar, with a check payable to "St. Bernard's" or credit card information.
(Online registration requires payment by credit card)
Program registration due by April 5, 2007
Last Name: First Name: Address: City: State: Zip: Day Phone: E-mail: Parish/Institution, City: Job/Ministry Title:
Dietary Restrictions: Other special needs:
Cost: $50.00 per person
Payment information must accompany online registrations.
Billing Instructions: Select American Express Discover Master Visa Acct # Exp. Date: Mo 01 02 03 04 05 06 07 08 09 10 11 12 Yr 03 04 05 06 07 08 09 10 11 12 Name on Card:
St. Bernard's School of Theology and Ministry 120 French Road Rochester, NY 14618 Phone: (585) 271 - 3657 Fax: (585) 271 - 2045
Albany Extension Site 40 North Main Avenue Albany, NY 12203 Phone: (518) 453 - 6760 Fax: (518) 453 - 6793