✠
☧
SCHEDA INSCRIPTIONIS
AD
CENACULUM
FAMILIÆ
SANCTI HIERONYMI
2018
apud
“COLLEM SANCTUM”
et
SANCTUARIUM MARIÆ,
Adjutricis Christianorum
1525 Carmel Road,
Huberti (prope Milvaukiam),
in Visconsinia
Civitates Fœderatæ Americæ
 A die 23a ad diem 28am
mensis Julii, 2018		 REGISTRATION FORM
FOR THE
CENACLE
OF THE FAMILY
OF SAINT JEROME
2018
at the
“HOLY HILL”
and
NATIONAL SHRINE OF MARY,
Help of Christians
1525 Carmel Road,
Hubertus (near Milwaukee),
Wisconsin
United States of America
From the 23rd to the 28th
of July, 2018
✠
☧
<= Invitatio ad Cenaculum De accessu notitia =>
<= Invitation to the Cenaculum Travel Instructions =>
NOMEN BAPTISMATIS/BAPTISMAL NAME/NOMBRE:

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COGNOMEN/SURNAME/APELLIDO:

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DOMICILIUM (Inscriptio cursualis)/(mailing) ADDRESS/DIRECCIÓN:

Numerus cursualis et via//Street//Calle: ...................................................................................

Urbs/oppidum/vicus//City//Ciudad: ............................................................................................

Provincia/Regio/Status//Province/Region/State/Estado: ...............................................................

Siglum cursuale directorium (Zip code/CAP/PLZ): .........................

Respublica/Country/País:.................................................................................

NUMERUS TELEPHONICUS/TELEPHONE/TELÉPHONO: .................................................
NUMERUS TELESCRIPTIVUS (i.e., FAX, si habeas)/FAX (if applicable)/Número de fax (si es aplicable):

..................................................................
INSCRIPTIO INTERRETIALIS (i.e., e-mail, si habeas)/INTERNET ADDRESS (if applicable):/DIRECCIÓN DE INTERNET (si es aplicable):

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MUNUS VEL OFFICIUM/PROFESSION/PROFESIÓN: .............................................................

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ANNOS NATUS / NATA//AGE//EDAD: .............
LINGUAM LATINAM DIDICI ANNOS (Quot annos? Qua schola?)
/YEARS SPENT LEARNING LATIN (How long?  Where?):
/¿QUÁNTOS AÑOS PASARON UDS. APRENDIENDO LATÍN?  ¿DONDE?

...............................................................................................

Si attinet/If pertinent/Si viene al caso:

Nomen societatis aërinavalis qua perveneris/Name of Airline/Línea aérea: .......................................

Dies et hora adventus/Date & time of arrival/Fecha y hora de su llegada: ...........................................................

Numerus aëroplani/Flight number/Número de vuelo: .......................................................

Si nondum tesseram volatus emisti, facias nos postea, quæsumus, certiores his de notitiis aëronavalibus.  Gratias.
If you do not yet have your flight information, please forward it to us later when available.
Si aún no tiene Usted sus informaciones de vuelo, por favor envíeles nos lo antes posible.

Remittatur hæc scheda quam primum ad J. G. Halisky, Attorney-at-Law, 507 South Prospect Avenue, Clearwater, Florida 33756, U.S.A.  (Vel per FAX:  727-461-4240; vel per epistulam electronicam:  familiasanctihieronymi@gmail.com  Gratias.

Simul, per tabellarium mittas, quæsmus, perscriptionem pecunariam (Familiæ Sancti Hieronymi inscriptam) pro impensis domicilii et victus.  Poteris etiam solvere utendo PayPal, si ad nos huic effectui epistulam electronicam mittas.

Please return to J. G. Halisky, Attorney-at-Law, 507 South Prospect Avenue, Clearwater, Florida, 33756, U.S.A. Or by FAX: 727-461-4240; or e-mail:  familiasanctihieronymi@gmail.com  TEL:  727/461-4234.  Thank you.

At the same time, please mail your check for the cost of room and board, payable to the Family of St. Jerome.  If you would like to pay using PayPal, please send us an e-mail to this effect.
Gratias

Imprime, quæso, hanc
schedam et exple eam.
Remittatur tunc
ea quam primum
per cursum publicum ad		 Please print this form
and fill it out.
Mail it as soon
as possible to		 Imprime, por favor,
éste formulario
y rellénalo,
y envíalo lo antes
possible por correo a
  Mr Jan G. Halisky
  Attorney-at-Law
  507 S. Prospect Avenue
  Clearwater, Florida 33756
  U.S.A.
(vel per FAX:  727-461-4240;
vel per epistulam interretialem
[i.e., e-mail])		 (or by FAX:  727-461-4240;
or by e-mail)		 (o por FAX:  727-461-4240;
o por e-mail)
FamiliaSanctiHieronymi@gmail.com
Thank you.  At the same time, please mail your check for the cost of room and board, payable to the Family of St. Jerome.  If you would like to pay using PayPal, please send us an e-mail to this effect.  If choosing room option #1, please contact us before payment to ascertain availability.
Holy Hill, Wisconsin

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Deus vult !— Brennus (Inscriptio electronica:  Brennus@brennus.bluedomino.com)
Dies immutationis recentissimæ:  die Lunæ, 2018 Jan 23