PRINT Name of person for whom the mass is to be
offered:
________________________________________________
Person is: ____deceased
_____living ?
Should we send the card to you to present personally? _____YES
OR, should we fill out the card and mail it to the
recipient for you? _____YES
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Please mail the card TO (please print clearly): Name: _______________________________________
Address: _____________________________________
_____________________________________
City: ________________________________________
State: ___________________ Zip:
_______________
|
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Card is FROM (please print clearly): Name: _______________________________________
Address: _____________________________________
_____________________________________
City: ________________________________________
State: ___________________ Zip:
_______________
Phone: ______________________________________
Email: _______________________________________
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Customary offering for each mass: $11.00
($10 + $1 postage &
handling). Please enclose check or money order made payable to Shrine of St. Joseph and mail with this completed form to:
The Shrine of St. Joseph
1050 Long Hill Road
Stirling, NJ 07980-0067
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