Mary, Mother of Mercy Conference - National Shrine of Our Lady of Good Help

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• Address 2:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• *

  Friday Dinner Option at 1951 West Restaurant (Select One)

  • Broiled Salmon
  • Baked Haddock
  • 8 oz. Tenderloin
  • Grilled Chicken Breast (Gluten Free)
  • I am not planning to attend the dinner
• *

  Saturday Boxed Lunch Option (Select One)

  • Turkey Sandwich
  • Ham Sandwich
  • Roast Beef Sandwich
  • Garden Salad without Cheese
  • I plan to bring my own lunch

• Are you a priest? *If yes, we will need a letter of suitability from your Diocese if outside of Green Bay Diocese

  • No
  • Yes
  • Yes, and I would like to help hear Confessions on Saturday, May 20

• Promo Code

  Enter Code: Apply

• Fee

  Type	Fee
  Conference with Friday Dinner & Talk (Includes 2-Day Ticket, Friday Dinner, and Sat. Lunch)	$120.00
  Conference without Friday Dinner & Talk (Includes 2-Day Conference Ticket, and Sat. Lunch)	$80.00

Guest Information

You may add a maximum of 10

Lodging

• *

  Are you planning on booking a hotel room in the area? (This will help Champion Shrine better monitor its room blocks for the conference).

  • Yes
  • No