Please fill out and return with your check

Name __________________________________________________________

Your Summer Contact Information:

Address_________________________________________________________

City_____________________________ State_____ Zip Code___________

Phone Number__________________________________________________

Summer Email__________________________________________________

Total for retreat $250.00 (includes room, meals)

Deposit ($25.00) _________ Balance due _________________

Name of Seminary__________________________________________________

Please make check out to Priests for Life and in the memo of check put Seminarian Life Link Retreat and mail to: Priests for Life , P.O. Box 141172,

Staten Island, New York 10314, Att: Janet Morana

______________________________________________________________________

Financial assistance is available for those seminarians with special needs. Please email those concerns to Fr. Pavone at director@priestsforlife.org.