Form to request info and volunteer


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I would like to be a member of this apostolate. Please telephone or e-mail me.

I would like to volunteer to distribute your newsletter in the parishes in my area. Please telephone or e-mail me.

I would like to be on the mailing list of this apostolate. (I will send a free will offering to defray postage costs.)

I would like to ask my pastor about having Eucharistic Adoration. Please telephone or e-mail me.

I would like to be a coordinator of Eucharistic Adoration in my parish. Please telephone or e-mail me.

Please send me an information packet to approach my Pastor about Eucharistic Adoration. (I will send a free will offering to defray postage costs.)

Prefix Mr.MissMrs.Dr. 

First Name MI  

Last Name

Address

City State Zip

Country

E-Mail Address

Phone Num.

Pastor’s Name

Parish Name

Parish Address

Parish Phone Num.


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