Title
(Mr., Mrs., Ms., Rev.)
First Name
Last Name
Address
(second line)
City
Zip code
Your
Birthday:
Year
Email Address:
Phone #
Member #:
What's
this?
|
Total Members enrolled:
Promoters
should give each new member the medal, membership card, pamphlet, and
novena leaflet to which members (only) are entitled. We send only those
membership supplies which are requested by the Promoter. Your cooperation
will mean that we can use more of your membership offering for spreading
devotion to our Blessed Mother.
Please enter the
exact amount of each of these articles you need for the members.
Number of
Medals:
Number of Membership Cards:
Number of
Pamphlets:
Number of Novena Leaflets:
|
