Be A Catholic Man

Scranton, PA

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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Address Line 1 REQUIRED Please fill out this field. Please enter valid data.
- Address Line 2 Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Parish Name Please enter valid data.
- Parish Town Please enter valid data.
- Registration Type REQUIRED 40.0 – Regular Registration 30.0 – Early Bird (Before 9/1/2022) 15.0 – Student Registration 0.0 – Priest/Deacon/Seminarian (Free) 0.0 – Sponsor (Free) 0.0 – I will mail a check Please fill out this field.
- If writing a check, please make it payable to Be A Catholic Man and mail to:
  
  Be A Catholic Man, Inc.
  c/o William Leandri, Treasurer
  239 Hayfield Rd
  Shavertown, PA 18708
  
  Please put Attn: Men's Conference in the memo line of the check.
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