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Mother's Day Petition and Remembrance Form
 
 
Dear Father,

Please include the following intentions in the Mass at the Shrine on Mother's Day, May 10, and in the daily Mass during the month of May.

My Intentions
World Peace Financial Help Employment
Vocations Peace of mind Devotion to Mary
My family Thanksgiving Our Government
Return to Sacraments Healing Respect for life
Votive Candle

Special Intentions:

Light a Votive Light for your Intentions:   (What a burning candle means)

I wish to have the following persons remembered during the month of May and especially in the Mass at the Shrine on Mother's Day, May 10 (To burn a Votive Light at the Shrine for a loved one, just check the box below. The usual offering for each 60 day Votive Light is only US$10.)
Names to be remembered
Deceased
60 Day Votive Light

All offerings sent to our Lady's Association will be used to spread devotion to our Blessed Mother and to assist our missionaries.
I WISH TO MAKE A DONATION OF:
$25.00
$50.00
$75.00
$ (any amount not listed above)
None Selected

Your Name and Address: 

  Title:
  First Name: Enter your first name.Enter your name.
  Last Name: Enter your last name. Suffix:
  Enter Your Email Address: Enter your email address. Invalid format.
  Re-enter your email address: Confirm your email address. The email addresses don't match
   Postal Address: Enter your postal address.
  (second line...)
  ZIP/Postal code You must enter a zipcode. (Enter Zip Code First)

Are you already on our mailing list? Yes No

Your Member Number is: Invalid format. Your 9-digit member number.Your 9-digit member number. What's this?
(If you don't know or can't find your member number, we can still process your request)
Please sign me up for emails from Father. Yes No

      

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