Reservation Form


Sunday, October 28, 2012

Archdiocese of Hartford 2012 White Mass

and

Brunch/Reception featuring Dr. Michael Brescia

Church of St. Mary, 5 Hillhouse Avenue, New Haven, CT 06511


Please check function you will attend:


_______ White Mass @ 10:00 AM - Number attending ________
_______ Brunch & Program featuring Michael Brescia, MD
Number attending: ________ x $25.00 = ________
Student fee $15.00 ________ x $15.00 = ________

Name: ____________________________________________________

Address: ____________________ ___________________ _________
City State Zip Code
Telephone: ______________________________

Email: ______________________________

If student, please indicate school: _____________________________

Please return this form and remittance by October 12, 2012 to:

Heather Vaccola

Holy Apostles College & Seminary

33 Prospect Hill Road, Cromwell, CT 06416-2027


Please make checks payable to: “CT Guild/CMA”