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St. Michael the Archangel Catholic Church
Parish Registration Form
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Date:
MM
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DD
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YYYY
Last name:
*
Your answer
Street Address:
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Your answer
City, State & Zip:
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Your answer
(optional) Native Language spoken at home?
Your answer
Home Phone Number:
Your answer
Would you like to receive Offertory envelopes:
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Weekly
Monthly
None, I give Electronically
Man's First and Last Name:
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Man's Occupation:
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Man's Birth Date:
MM
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DD
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YYYY
Marital Status:
Your answer
Religion:
Your answer
E-mail Address:
Your answer
Cell Phone Number:
Your answer
Women's First and Last Name:
Your answer
Occupation:
Your answer
Birth Date:
MM
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DD
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YYYY
Marital Status:
Your answer
Religion
Your answer
E-mail Address:
Your answer
Cell Phone Number:
Your answer
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