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Mass Intention Request

- Sacraments

Mass Intention Request
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- The Our Lady of Perpetual Help Church Office will be in contact with you to confirm a date and mass time for your intention.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Email Confirmation REQUIRED Please fill out this field. Please enter an email address.
- Intention is in honor of:
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Is the Intention Recipient deceased? REQUIRED Yes No Please fill out this field.
- Certificate Donation: $10 REQUIRED Give over Phone: (661)323-3108 Give Online: Click Button Below Please fill out this field.
- Mailing Address: for Mass Intention Reminder Card
  Send Reminder Card for Mass Intention
  Please enter valid data.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
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