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Mass Request

- Liturgy | Sacraments

The maximum number of form submissions has been reached. This form is currently not available.
- Requested for ( Name for Card and Announcement) REQUIRED Please fill out this field.
- Deceased ? REQUIRED Yes No Please fill out this field.
- Requested by: Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Mass Location - Please Select REQUIRED Please fill out this field.
- Date Requested: (if not available we will use next available date) Please enter a date.
- Weekday Mass Times REQUIRED Please fill out this field.
- Sunday Mass Times REQUIRED Please fill out this field.
- Delivery of Card REQUIRED No Mass Card Required Pick up at St. Peter's Church Office (Between the hours of 10:30 am and 4:30 pm Monday through Thursday) Please Mail Card to address below Please fill out this field.
- Full address to mail card:
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Street Please enter valid data.
- Apartment Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Mass Stipend20.0
Total:

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