REGISTRATION FORM

Please fully complete in capital letters and send BY 7th JULY 2002 to:
Registration Office
ul. Sienkiewicza 60
90-058 Lodz
Poland
tel./fax 0 048  42 637 04 25, email: kzk@odnowa.opoka.org.pl 
WE SERVE MONDAY – FRIDAY, 3.30 TILL 6.00 P.M.
(1 form per person)

Important: Bookings will ONLY be accepted when registration forms are accompanied by the FULL Conference Fee. Complete payment (for accommodations, meals, etc.) are due BY 7th JULY 2002 or else bookings will be automatically cancelled. Cancellations must be notified in writing. Conference Fees ARE NOT REFUNDABLE in the event of cancellations after 7th July 2002. Substitutions are accepted only in writing and no later than 30 days prior to the event.

Conference fee:	
participants from Western Europe			EURO   225.00
participants from East Central Europe		EURO   115.00
participants from Poland				PLN       414

Payments:
All payments (especially by cheque) should be done for: PARAFIA SW. MARII MAGDALENY W MAGDALENCE. REGISTRATION OFFICE

by cheque:			in EURO or PLN send only by registered mail 
by bank transfer:		Bank Przemyslowo-Handlowy P B K   S.A.,
						I Oddzial Piaseczno
						in EURO 11101079-401070219923
						in PLN    11101079-411070002496

PERSONAL DATA:

Title: Bp.     Fr.     Mr.     Sr.     Mrs.     Miss 

Surname _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Christian Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 

Tel _ _ _ _ _ _ _ _ _ _ _ _ _  Fax _ _ _ _ _ _ _ _ _ _ _ _ _  E-mail _ _ _ _ _ _ _ _ _ _ _ _ _ _ 
ADDRESS:
Street _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

City _ _ _ _ _ _ _ _ _ _ _ _ _ _ _       Post Code _ _ _ _ _ _ _ _ _ _	

Country _ _ _ _ _ _ _ _ _ _ _ _

LANGUAGE preference for the Conference (only one):
English              French             German              Spanish              Italian              Polish 

SPECIAL NEEDS _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 
(i.e. diet, wheel chair access …)

SHUTTLE BUS (Jasna Gora to hotels and back.  This is not needed for Pilgrim’s House) EURO 13 

ACCOMMODATION AND MEALS (indicate your choice):
Five nights: from Tuesday 24th September, 2002, dinner, ending on Sunday 29th September, 2002, lunch:

Hotels (**or ***) : full-board – prices per person
double/triple room			EURO 175		or	 PLN 630 
	single room (limited)  		EURO 275		or    	 PLN 990
 
The Pilgrim’s House (standard *): full-board – prices per person
	four person room with a sink		EURO 75		or 	PLN 270
	double/triple room with shower 		EURO 115	 	or 	PLN 414 
	
EXTRAS (please, specify dates for the extra needs as required)………………………………………………….
 	HOTEL
   	Bed’n breakfast (double + triple)		EURO 20 		(single room)  EURO 40
	Lunch EUROE 12;             Dinner  EURO 8 			SUB-TOTAL………………….

       PILGRIM’S HOUSE
       Bed’n breakfast (four person room)  EURO  9 		(double/triple room)  EURO 15
       Lunch  EURO 5	              Dinner	 	EURO 5			SUB-TOTAL…………………..

TOTAL AMOUNT (shuttle bus + accommodation + meals + extras):

EURO……………../PLN……………….

Note!  The organizers GUARANTEE a special bus service for participants arriving and departuring 
by plane. The service is ONLY available on Sept. 24th and on Sept. 29th:
        		
        To/from airport in Katowice (Euro 15)	To/from airport in Krakow   (Euro 30)	
 
     FINAL TOTAL (Total Amount + Total Needs + Airport Bus Service)

EURO…………. or PLN………….

.................................... (date)                                 .....................……………............... (signature)

INTERPRETATION

HOW TO INTERPRET THE REGISTRATION FORM?

Many people have problems to understand the registration form. Some things are unclear. To make it more clear we give some examples: 

First example:
If you come from Western Europe by aeroplane to Katowitc and you want to stay
in a hotel in a double-room you have to pay in Euro:
225 Conference fee
13   Shuttlebus from/to hotel
15   Bus from/to airport
175 Hotel, including meals
0     Extra's (because you do not arrive before Sept. 24)
--------------
428 Euro  FINAL TOTAL

Second example:
If you come from East Central Europe by bus, arriving Monday-evening 23rd September and stay in the Pilgrim's House in a four person room; you have to pay:
115 Conference fee
0     Shuttlebus (not needed to the Pilgrim's House; it is a short walk to the conference)
0     Bus from/to airport (not needed, your own bus goes to Czestochowa)
75   Pilgrims House, including meals from Tuesday-diner to Sunday-Lunch.
14   Extra's (9 Bed'n breakfast Monday-night to Tuesday-morning + 5 Tuesday-Lunch) 
--------------
204 Euro  FINAL TOTAL

More information in our office in Poland: tel./fax 0 048  42 637 04 25, email: kzk@odnowa.opoka.org.pl 
-------------------

“Europe, put out into the deep”
European Charismatic Leaders and Intercessors Gathering and Pilgrimage

      DATES: Tuesday, September 24th – Sunday, September 29th, 2002
       PLACE: Czestochowa, Poland
       CONFERENCE FEE: 225 Euro for Western Europe
                                              115 Euro for Eastern Central Europe
                                              414 PLN for Poland
       REGISTRATIONS: ul. Sienkiewicza 60
                                           90-058 Lodz – Poland
                                           tel/fax +0048 42 637 0425
                                           e-mail: kzk@odnowa.opoka.org.pl

•	eucharistic celebrations
•	praise & worship
•	visiting the sanctuary of God’s mercy
•	dynamic speakers
•	seminars
•	a visit to the concentration camps in Auschwitz

ICCRS cordially invites you to this first European continental conference:
Imploring together as Catholic Charismatics of Europe
“a fresh outpouring of the Holy Spirit” for this continent
for “the renewal of the Church, the unity of Christianity
and the renewal of Society”, thereby “the renewal of the face of the earth”

put out into the deep of the Church

put out into the deep of mission

put out into the deep of prayer

put out into the deep of mercy