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25th NATIONAL CURSILLO ® ENCOUNTER
 
July 23-26, 2015 
Villanova University
Villanova, PA
 

 
TO REGISTER (NOW) ON-LINE 
   Fill out this form from your browser 
   Use separate form for each registrant 
   Use MasterCard or VISA card as payment 
   Click on "Submit Form Now" button  
Submit completed form to:
National Cursillo® Center
P.O. Box 799
Jarrell, TX 76537
Phone: 512-746-2020
FAX: 512-746-2030 

 
  

TO REGISTER (LATER) USING FAX OR MAIL 
   Use the printable registration forms --- do not use the form below 

 
Last Name: 
First Name: 
Address: 
City:   State:   Zip:  
Phone: 
Email: 
Diocese:    Language Group: 
Region:   
 

Vocation (check one):  Bishop   Priest   Deacon   Vowed Religious   Laity

Leadership Role (check one):Spiritual Advisor   Assist. Spiritual Advisor   Lay Director
 Other: 

Gender (check one):  Male    Female
 
 
If you desire to room with a specific individual (spouse, friend, etc.), both registration forms must be submitted within 2 hours of each other
 
Roommate preference?  If yes, name:
 
Need assistance - physically challenged? Describe need:
 

REGISTRATION FEES

The registration fee includes three nights lodging, dinner on Thursday evening, 3 meals on Friday and Saturday, and breakfast on Sunday morning. 
 
Villanova University is 25 minutes from Philadelphia International Airport (PHL).  Complimentary transportation from/to Philadelphia International Airport will be provided on Thursday July 23 and Sunday July 26, 2015.  Download campus map.
 
Cost is $325 per person if you register by June 15, 2015.
Registration fee increases to $400.00 per person beginning June 16, 2015.
Unable to guarantee registration after June 30, 2015.
 
Voucher # (if any):   
Discount (if any):   
 
REGISTRATION FEE   $  
 


PAYMENT OF FEES - SECURE SERVER 

Charge registration fee to my credit card (USA dollars): 
MasterCard  VISA 
 
Card Number:
Expiration Date:   
Cardholder's Name:       
(as appears on credit card)
Address:       
(from credit card billing)
City:   State:   Zip:  

THIS IS A SECURE TRANSACTION.  We have taken every precaution to protect this transaction, using state-of-the-art 256-bit encryption software. 
 


CANCELLATIONS 

Please notify National Cursillo Center by email or fax for all cancellations.  There is a $40.00 non-refundable fee for all cancellations through May 31, 2015.  No refunds after May 31, 2015.  The National Cursillo Center is responsible for the payment to the University regardless of cancellations. 


National Cursillo® Center
P.O. Box 799
Jarrell, TX 76537
Phone: 512-746-2020,   FAX: 512-746-2030

 
Cursillo® and the Cursillo logo are registered trademarks of the National Cursillo Center.
Copyright © 2015 National Cursillo Center