Wednesday Dinner Donors

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Thank you for being interested in volunteering for our Wednesday Dinner program, we will contact you as soon as possible.
Please include the information that is marked with an * you do not need to enter information where the item is labeled as (office Use).

Title- refers to Pastor/Grand Knight or group leader

(Please choose one as needed)

Rev.

Msgr.

Grand Knight

Regent

Other:

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Group *

(parish and/or group affiliation)

First - Pastor/Grand Knight or Group Leader

(this is not necessarily the contact person)

Last- Pastor/Grand Knight or Group Leader

(this is not necessarily the contact person)

Address *

(name of PARISH or GROUP as in an address)

Address2 *

(street number for above)

City *

(PARISH or GROUP address)

State *

(PARISH or GROUP address)

Zip *

(PARISH or GROUP address)

Email *

(CONTACT's email - not necessarily parish or group related)

Phone - home *

(CONTACT's phone- not necessarily parish or group related)

Contact- First and Last name *

(person responsible for dinner coordination)

Cell- For Contact

(PLEASE INCLUDE if you have one)

Submit

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