St. Peter's Catholic Church 100th Anniversary Historical Directory Survey

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Parishioner information and opinions regarding a parish historical directory

Last Name, First Name *

My Role in the household

Head of household

Adult living in household

Child living in household

Clear selection

I am agreeable to having the following information included in the Historical Pictorial Directory.

Individual or Family name only

Individual or Family name and photograph

Individual or family name, photograph, address and phone number

Clear selection

I/we can be contacted at the following phone number(s):

Address *

Email *

I am interested in helping with this project as follows:

I would like to help with photography

I am willing to do data entry or clerical work

I am willing to help in making phone calls and scheduling

I have experience in a related area - please describe

I have Idea, suggestions or thoughts on ways to enhance this project - please describe

Comments, thoughts, ideas or suggestions:

Submit

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