NEED A NEW NAME BADGE?

Please fill out each space below.
Sorry... name badges can no longer be mailed via US Postal Service (because of the pin).
Upon completion, your new name badge will be placed on the bulletin board on the first
floor of the CumChristo Center for you to pick up during an Ultreya.

How would you like your name to read?

Weekend #(e.g.: M-115)

Phone

E-Mail

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