Mass Request

Requested for: (Name for Card and Announcement) Please enter valid data.

Requested by: Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Mass Card Selection (Please send check to Parish Office (address below) REQUIRED Announced Mass - $15 Unannounced Mass - $15 Please fill out this field.

Mass Location - Please Select REQUIRED Please fill out this field.

Deceased ? REQUIRED Yes No Please fill out this field.

Date Requested: (if not available we will use next available date) Please enter a date.

Mass for St. Peter's Church (if announced mass requested) 7:10 am Monday - Friday 12:05 pm Monday - Friday 1:05 pm Monday - Friday 8:00 am Saturday 4:00 pm Saturday

Mass for Our Lady of the Rosary (Monday - Friday Only) 12:15 pm Monday - Friday

Delivery of Card Pick up at St. Peter's Church Office (Between the hours of 10:30 am and 3:30 pm M-F) Please Mail Card to address below No Mass Card Required

Full address to mail card:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Street REQUIRED Please fill out this field. Please enter valid data.

Apartment Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.