Campion CIS Victoria - Booking Form

Fill in the details below to register for your retreat/program. Upon receipt of payment your booking will be confirmed. You can call your local CIS to pay by credit card, or mail your payment to the relevant centre. If you have not been contacted within a few days, please check we have received your booking. We look forward to meeting you soon.

Campion (VIC) 99 Studley Park Rd, Kew 3101 Tel: 03 9854 8110 Email: campion@cis.jesuit.org.au

Name:
Email Address:
Do you want to be included in our email news?	Yes No
Retreat/Program:
Do you want to live in or live out?	Live in Live out
Street Addres
City/Suburb
State
Postcode
Country
Home Phone
Moblie
Work Phone
Fax Number
How did you hear about Campion?
Do you have any special dietary or access needs?
Would you care to say briefly why you have chosen this retreat/program?
Have you made a silent directed retreat before, and if Yes, how long?	If this is a Silent Directed Retreat.....
What is your experience of Spiritual Direction?

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