Your Name *

First Name

Last Name

Phone *

Please include your phone number so that we can contact you if we have any questions/clarifications. This will not be added to any call lists.

(###)

###

####

Name of the person for whom the intention is being said *

First Name

Last Name

Preferred Date

If you have a preferred date for your intention, please indicate it here. While we will do our best to accommodate your request, we cannot guarantee your date will be available.

MM

DD

YYYY

Attending in person?

Do you plan to attend this Mass in-person?

Yes

No

Has this person passed, or are they still with us? *

For their intentions

For the repose of their soul

Mass Stipend *

A Mass stipend is a donation given by the laity to a priest for celebrating a Mass. The diocesan-suggested stipend is $10. If you are offering a stipend, how will you be submitting yours? Please indicate on your envelope your name and the date you had requested for the intention.

I will drop off my donation (office mailbox or offering basket at Mass)

I will send my donation via snail mail.

Pay on-line (link will come up once you hit "submit")