Contact Information

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* 1. What is the email address you would like us to use to contact you?

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* 2. Please enter the phone number for contacting you

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* 3. Please enter your name

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* 4. Please enter your Parish name

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* 5. Please enter your Arch/Diocese name

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* 6. Please enter your Pastor name if different from above

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* 7. Please enter the email and phone number to reach your pastor

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