Parish Registration Form

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Parish Name
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Select the closest approximate quantity below to receive an estimated total. The final total will be determined by the number of parishioners who complete their Catholic Discipleship Profile.

Item	Price	Qty	Total
Catholic Discipleship Profile - Parish	First 100 Parishioners: $5.95 each Next 100 Parishioners: $4.95 each All Additional Parishioners: $3.95 each		$148.75
Have a promo code? Enter it here:		Estimated Total	$148.75*
*The actual total will vary depending on the number of parishioners who complete their CDP.

Item: Catholic Discipleship Profile - Parish

Price: First 100 Parishioners: $5.95 each
Next 100 Parishioners: $4.95 each
All Additional Parishioners: $3.95 each

Qty:

Total: $148.75*

*The actual total will vary depending on the number of group members who complete their CDP.

Have a promo code? Enter it here:

Please enter your payment information below. Your card will not be charged immediately.
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City*		State	Zip*

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Parish Name
Name
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Purchase Description	Catholic Discipleship Profile - Parish
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Your credit card will be charged the amount due immediately before you run your Parish Profile report.
I understand that after 120 days I will be charged automatically for all parishioners who completed the CDP after this parish registration date.
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