Request For Mass Card

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Saint Francis of Assisi

Email *

MASS STIPEND IS $10. Your Payment is required within a week to secure your request. The Mass you are requesting cannot be scheduled until your payment is received. Payments can be made by Cash or Check and can be mailed or dropped off at the Rectory Office. IF WE DO NOT RECEIVE YOUR STIPEND WITHIN A WEEK, THE MASS CANNOT BE HELD FOR YOU. Thank you for your understanding.

YOUR FULL NAME (Person Requesting the Mass Card) *

YOUR ADDRESS:

YOUR PHONE NUMBER:

Are you a parishioner of Saint Francis of Assisi Parish *

Yes

Announced Mass (Mass Intention scheduled for a specific date. Usually selected if the family or yourself will attend the mass)

Unannounced Mass (No specific date scheduled)

MASS IN HONOR OF (Please provide Full Name of the person the mass is intended for) *

Is Recipient(Honoree) of the Mass Deceased or Living ? *

Deceased

Living

If "Living", what is the intention for the Recipient(Honoree) ? (ie. Special Birthday, Anniversary, etc)

YOUR PREFERRED DATE OF THE MASS (No more than 1-year in advance) We will do our best to accommodate your date request. If date is not available, we will contact you. *

DELIVERY METHOD - (Please Note: Mass Card cannot be mailed out prior to receipt of stipend/payment) *

Mail the Mass Card to me.

Mail the Mass Card directly to the family (Please provide family information below)

I prefer to pick the Mass Card up from the Rectory

If you requested to have the Mass Card mailed out directly to the recipient's family, please provide the family's "Mail To" information:

Submit

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