✠
☧
SCHEDA INSCRIPTIONIS
AD
CENACULUM
FAMILIÆ
SANCTI HIERONYMI
2015
APUD DOMUM VALLIS UMBROSÆ
№ 250 in Stratali Roboreti,
in urbe Menlo Park, in California
in Civitatibus Fœderatis Americæ
 REGISTRATION FORM
FOR THE
CENACLE
OF THE FAMILY
OF SAINT JEROME
2015
AT THE VALLOMBROSA CENTER
250 Oak Grove Avenue,
Menlo Park, California
USA
A die 27ª m. Julii
ad diem 1am m. Augusti,
2015		From the 27th of July
to the 1st of August
2015
 ✠
☧
<= 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):

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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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ANNO 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 aėrinavalis qua perveneris/Name of Airline/Línea aérea: .......................................

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

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

Si nondum tesseram volatus emisti, facias nos postea, quaesumus, certiores his de notitiis aërinavalibus.  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.
Gratias

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

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Deus vult !— Brennus (Inscriptio electronica:  Brennus@brennus.bluedomino.com)
Dies immutationis recentissimę:  die Mercurii, 2015 Feb 5