This reply slip is intended to be reproduced if more than one (1) person will be attending the

assembly on behalf of their respective shrine. Kindly send the accomplished form by email at
acsp1991@gmail.com.

Title (Msgr., Fr., Sister, Brother, Mr., Mrs.): Mr.

JULIAN
Last Name:
JOJIMAR Nickname:
First Name:
SAN JUAN
Middle Name:
DIOCESAN SHRINE AND PARISH OF OUR LADY OF THE HOLY ROSARY

Name of the Shrine:

Shrine Address: DIOCESE OF ANTIPOLO, CARDONA, RIZAL

Position in Shrine Ministry/Other Council: INFORMATION OFFICER

090677652921
Shrine Telephone Number: NONE Personal Mobile Number:
jojimar.julian@urs.edu.ph
Shrine Email Address: NONE Personal Email Address:

[/] I will attend [ ] I will not attend because

Reply to the next box if you are a shrine rector/priest administrator:

[ ] I will not attend, but I am sending as

my representative.
Annual Membership Fee: Shrine / Institution: Php. 1,000.00
(Inclusive of Pilgrimage) Pilgrimage/Lay Promoter: Php. 500.00

Accommodation:
In case you wish to stay at the retreat house, please check for coordination to the retreat house:
Solo Room - Priest (2 nights): Php. 3,000.00 Solo Room – Lay (2 nights): Php. 3,600.00
For 3-4 persons (2 nights): Php. 2,000.00

PLEASE SEND ON OR BEFORE AUGUST 30, 2022

Association of Catholic Shrines and Mrs. Evelyn A. Del Rosario (09165984571)

Pilgrimages of the Philippines ACSP Lay Secretary
c/o Fr. Roderick L. Castro Br. Kendrick Ivan B. Panganiban (09175506084)
acsp1991@gmail.com ACSP Consultant