Votive Light Shrine Card Order Form

The Association of the Miraculous Medal

Membership Shrine Card Information
and Order Form
This offer applies only to addresses in the United States and Canada.

These cards can be given to someone you love—a spiritual gift for that special person. You can enroll members for one or five years and send a greeting card announcing the membership.

1. Ordering Cards on the Internet
Use this form to order membership card(s) from the Association of the Miraculous Medal. First, indicate which card(s) you would like by checking the box next to it. Then fill out the information about yourself. Submit the form and you will receive your membership card(s) by postal mail.

5 year Membership Cards
Click on the card to read the verse on the inside of the card.
	Sympathy (D005)	Thinking of You (D010) (Our Lady arched with Shrine)


1 year Membership Cards
Click on the card to read the verse on the inside of the card.
	In Loving Memory (D021)	Special Occasion (D024)
	Thinking of You (D029) (Our Lady of Grace)	Thinking of You (D032) (Christ, Mary & the US flag)

Your Name and Address:

Title: Mr. Mrs. Miss Other
First Name:
Last Name: Suffix:
How would you like us to address you? ("Dear Pat") Dear
Email address:
Postal address:
City:	State: ZIP/Postal code:
Are you already on our mailing list? Yes No If so, what is your donor number? What's this?

2. Ordering by Phone	3. Ordering by mail or fax
To order cards by phone, call the Association: Toll free in the USA: 1-800-264-MARY (1-800-264-6279) To pay for the call or outside the USA: 1-573-547-2508 (Ask for the Membership card by the title name and give card number)	Print the order form, fill in the blanks, and mail or fax it to: The Association of the Miraculous Medal 1811 West Saint Joseph Street Perryville, MO 63775-1598 USA FAX 1-573-547-1389

Return to the beginning of this page.

View other cards available through our Lady's Association
Votive Light Shrine cards.
Spiritual Remembrance cards.
Special Occasion cards.

Membership Information page
Request a Votive Light at our Lady's Shrine.
Send a donation to the Miraculous Medal Association.

Sign our Guest Book and Receive a Free Miraculous Medal

The Association of the Miraculous Medal is an apostolate of the Congregation of the Mission Midwest Province.

The Association of the Miraculous Medal is supported entirely by contributions. We are grateful for any help you can give. Contributions to the Association are deductible under the IRS Code 501(c)(3).

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