Wildcard SSL Certificates


 


Registration Form

 

We treat your personal information as confidential, and will release it only as might be necessary to serve you, and only to duly recognized representatives of the Diocese of St. Augustine.

Click here for more information on our Privacy Policy

 

General Information

Please print names as you want them to appear on name badges:
 
Husband's First Name
Husband's Last Name
Husband's E-mail
   
Wife's First Name
Wife's Last Name
Wife's E-mail
   
Address
City, State, Zip
Home/Cell Phone Number
Current Parish


Celebration Information

Wedding Date
Years Married as of 2011

Please choose one option below:
 

We are observing our 25th, 30th, 35th, 40th, 45th, 50th or more wedding anniversary during 2011 and would like to attend the Anniversary Celebration.  (Please Note:  Once you have reached the fifty year anniversary you are invited to attend the celebration every year thereafter.)

IMPORTANT:

Please check here if wheelchair accessibility is needed:

We are observing one of the designated wedding anniversaries, but because we are unable to attend the celebration, we would like a certificate mailed to us.

How would you like your names to appear on your certificate?

Comments:



    

"So faith, hope,
love remain, these three; but the greatest of these
is love."

1 Corinthians 13:13

  
 2577 Park Street    
   Jacksonville, FL 32204    
   Phone (904) 308-7474    
Copyright © 2007 Diocesan Center for Family Life                                                                                             Fax (904) 308-4087    

                                            Diocese of St. Augustine