Please remember my intentions and my beloved deceased at our Lady's Shrine.
Special Intentions
Light a Votive Light for your Intentions: (What a burning candle means) None selected $25 (Votive Light for 6 months) $10 (Votive Light for 60 days) $15 (Votive Light for 90 days) $50 (Votive Light for one year)
Your Name and Address: Title: (Mr., Mrs., Miss, Rev.) First Name: Last Name: Suffix: ** Jr. Sr. MD DDS PHD II III How would you like us to address you? ("Dear Pat") Dear Email address: Postal Address: (second line...) City: State: ZIP/Postal code Are you already on our mailing list? Yes No If yes, what is your member number? What's this? (If you don't know or can't find your member number, we can still process your request)
Would you want to receive emails from us? Yes No
Return to the start of the petition slip. Honor a loved one through the Association's Tribute Program. Read a Memorial Day Remembrance prayer. Read the story of Memorial Day. Send an e-card to someone in the military. Send a donation to the Miraculous Medal Association. Return to the Memorial Day letter.
Association of the Miraculous Medal 1811 West Saint Joseph Street * Perryville, MO 63775 1-800-264-6279* ammfather@amm.org
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