voris_registration

Please complete the Form below in order to Register for this Event.

First Name :
Last Name :
Address :
City :
State :
Zip :
Email :
Phone :
Number Attending :

Suggested Donation is $25.00 per person for this event. Please make checks payable to: Laity for Life, Inc. P.O. Box 111478 Naples, FL 34108 (239) 352-6333
For Registration Information call: Gussie Zawaski 239-775-1836