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  • Palanca Letter (Short Form)
  • Select Type (Candidate or General or Team Member (3 options) REQUIRED (Select One) Candidate General Team Member Please fill out this field.
  • First & Last Name of Team Member/Candidate
    (not required for general letter)
  • First Name Please enter valid data.

    Last Name Please enter valid data.
  • First Name Please enter valid data.

    Last Name Please enter valid data.
  • Email (if you want a copy - optional) Please enter an email address.
  • Weekend Date REQUIRED Please fill out this field. Please enter valid data.
  • Prayers and Sacrifices Offered REQUIRED Please fill out this field.
  • De Colores - Your Name REQUIRED Please fill out this field. Please enter valid data.
  • Cursillo Number - (optional) Please enter valid data.

  Submit

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