Important: Please fill in all information below so we have your complete information for registration:  

Full Name:  

Address:  

City:  

State:  

Zip:  

Telephone:  

Parish:  

E-Mail*:   *we will only use your email address for MHOH-related business




After you've completed the above information, click the "Buy Now" button below to pay by
credit card or Pay Pal.


$25 per person (plus $1.25 processing fee)