Please complete the following questions
and we’ll be in touch to confirm your registration.
* Pax is only available for women at this time. Thank you.

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Parish / Church

How did you hear about Pax?

Have you or your spouse filed for divorce?

If yes to above, how long has it been?

Have you received a civil divorce decree?

If yes to above, how long has it been?

Have you remarried after your divorce?

QUESTIONS? Click HERE to Reach out.

Thank you and may God bless you.

xoxo Andy