Parishioner Information Update

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* 1. Family Information

Last Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

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* 2. Family Member Names - Please Enter the first names of each Family Member

Adult Parishioner:

Child 1:

Child 2:

Child 3:

Child 4:

Child 5:

Child 6:

Child 7:

Child 8:

Child 9:

Child 10:

Other Family Member:

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* 3. Best Phone #:

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* 4. Alternative Phone #:

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* 5. Email Address:

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* 6. Alternative Email Address:

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* 7. Other information:

I am no longer a Parishioner.

I am not yet a Parishioner but would like to register.

I would like to receive collection envelopes.

I would like to stop receiving collection envelopes.

Please keep my information private.

Parishioner Information Update

Question Title

* 1. Family Information

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* 2. Family Member Names - Please Enter the first names of each Family Member

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* 3. Best Phone #:

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* 4. Alternative Phone #:

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* 5. Email Address:

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* 6. Alternative Email Address:

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* 7. Other information:

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* 8. Any Comments or Questions for the Parish?