Booking / Contract
Slide Presentation, Marian Icon on Tour and Marian Children Rosary

Parish name: __________________________________Web site_______________________________

Address: ___________________________________________________________________________

City:_______________________________________________ State: ________ Zip code:___________

Contact person: ____________________________________ Title:______________________________

Phone: _______________________________ E-mail: ________________________________________

Dates inquiry of the Marian Icon Our Lady of Loving Compassion:

From: ____________ To: _____________ Date and time for the Icon delivery: ______________________

Date scheduled for the Marian Children Rosary:

1. Before ____ or after _____ a Sunday mass Date: ___________________ Time: __________

2. On a weekday YES ____ NO ____ Date: ___________________ Time: __________

3. Others (specify) : ___________________________ Date: ___________________ Time: __________

Talk/Slide Presentation (Optional) Presentation Date: _______________ Time: __________

Presentation stipend and accommodation fees:

A minimum suggested donation fee is $100 if your parish is interested in the Presentation. Please make check payable to New Helfta PO Box 464, Geneseo, NY 14454 at least two weeks prior to the dates schedule for the events.

Traveling fee: Mileage (round trip from Geneseo to your parish): _________ x $.50 = $___________

Stipend: $___________

Other transportation if applicable (round trip ticket purchased): $___________

Other accommodations: $___________

NY tax: $___________
(Parishes in New York, please enclose a copy of your Tax Exempt certificate. Thank you.)

Total Fee: $___________

Contact person: _______________________ _______________________Date: ______________
(Print name and sign)
Minhhang K. Huynh
: _____________________ _______________________Date: ______________
(Print name and sign)


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