| *Required Fields |
Your Contact Information:
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| Name (first and last):* |
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| Street Address: |
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| City, State & Zip: |
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| Phone: |
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| EMail:* |
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Intention Information: |
| Type of Intention:* |
Deceased
Special Intention |
Name of person or family for whom the Mass is being offered:* |
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Request a specific date: |
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and/or time: |
5:00 p.m. (Saturdays) 8:00 a.m. 10:30 a.m. |
Card Delivery:* |
I don't need a card
I will print my own card (see print options on the next page)
I will pick up the card at the parish office
Please mail the card for me, to this name & address:
with this signature: (Example: "John and Jane Doe" or "The Smith Family")
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Donation Information:
$10.00 is the customary minimum |
| Type of Donation:* |
Credit Card at ParishPay (use the link on the next page)
Check delivered or mailed to Parish Office |