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Questionnaire
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First and Last Name | ________________________________________________________________________________ |
Country | ________________________________________________________________________________ |
Tel. | ________________________________________________________________________________ |
Fax | ________________________________________________________________________________ |
________________________________________________________________________________ |
I. I would like to participate in:
[] the Holy Mass at Marianki on May 24, 2009;
[] the Symposium in Licheń on May 25-28, 2009;
[] the Pilgrimage to Mariajampolė and Vilnius on May 29-31
II. I expect (please check the applicable): | |
[] |
to arrive in Warsaw by car on Saturday, May 23, 2009, at (approximate hour) _______________________ |
[] |
to arrive in Warsaw by plane on Saturday, May 23, 2009; alternative date: ___________________________ |
[] |
to depart from Warsaw on Monday, June 1, 2009; alternative date: _________________________________ |
[] | I will travel by my own means of transportation. |
III. I will require:
[] overnight stay in Warsaw on May 23–24 and on May 31– June 1, 2009;
[] transportation from Warsaw to Licheń via Marianki on May 24, 2009;
[] transfer from/to the airport
[] other: ________________________________________________________________________________________
The Licheń Religious House will cover all expenses related to your stay in Licheń and participation in the Symposium.
Cost of transportation and two overnight stays in Warsaw, Poland, is 250 zloty (65 € or $85).
Cost of pilgrimage to Lithuania (Licheń – Marijampolė – Vilnius – Warsaw) is 460 zloty (120 € or $160)
Please kindly return this Questionnaire by fax or e-mail
before February 25, 2009
Marian Helpers Center
ul. Św. Bonifacego 9, 02-914 Warszawa, POLAND
tel. 0048-22-833-74-05 / 0048-22-651-90-29
fax: 0048-22-833-32-33; e-mail: spm@marianie.pol.pl