For those interested in attending the Fatima World Prayer Congress for Life, please register below. You will then be sent further information by email!

		Male   Female
Title
First Name *
Last Name *
Mailing Address *
Apt. No.*
City *
Zip Code*
State/Province *
Telephone *	Country Code (USA=1)/ Area Code/ /
E-Mail *

	I will participate in the Congress!
Dates	04.10. - 08.10.06 04.10. - 10.10.06
	I will participate in the Workshops!
I´d like to book:	Single Room	Double Room
Meals w/room	Just Breakfast	VFull board/all meals

Criteria for Assignment of Rooms in Hotels:
Organization affiliated with
Main language spoken
		II would like my Hotel room assignment in the same room with the following Congress participant(s) as named below:
Name(s)

Please provide the following information to further help Congress Organizers:
I am traveling by:	Airpane  Train  Bus  Auto
	For those travling by Airplane, please provide the following information:
	My Outward Flight Data:
	Airport/ City of my Departure
	Date of Arrival
	Time of Arrival	/Lisbon
	Airline Carrier
	Flight Number
	My Departure Data:
	Date of Departure
	Time of Departure	/Lisbon
	Airline Carrier
	Flight Number

* Fields which must be filled in. *