mass

29825217-7F1B2A707C810F9F2CF8E39C919447B49FAF675DC0C84EB9mass0350011851Page 116777215661Shape14151167335544316448281541943041672812811331174313008889615099488016775596818453324719928700800050011851038001022Name33554432167772150214420288222016-10064any13Label3355443214151167027724651530900Your Name:21true14Label13355443214151167023511122015407000Zip:11true25Zip33554432167772150237510856225023-10064any16Label23355443214151167021081143115606400State:21true97State016777215644828152144110196217019-10false01--> Choosechoose2AlabamaAL3AlaskaAK4ArizonaAZ5ArkansasAR6CaliforniaCA7ColoradoCO8ConneticutCT9DelawareDE10Florida1011GeorgiaGA12HawaiiHI13IdahoID14IllinoisIL15IndianaIN16IowaIA17KansasKS18KentuckyKY19LouisianaLA20MaineME21MarylandMD22MassachusettsMA23MichiganMI24MinnesotaMN25MississippiMS26MissouriMo27MontanaMT28NebraskaNE29NevadaNV30New HempshireNH31New MexicoNM32New JerseyNJ33New YorkNY34North CarolinaNC35North DakotaND36OhioOH37OklahomaOk38OregonON39PennsylvaniaPA40Rhode IslandRI41South CarolinaSC42South DakotaSD43TennesseeTN44TexasTX45UtahUT46VermontVT47VirginiaVA48WashingtonWA49West VirginiaWV50WisconsinWI51WyomingWY18Label333554432141511670290544915801000Address:21true29Address33554432167772150214450288229017-10064any210Town335544321677721502144801962210018-10064any111Label43355443214151167021168423151101400City:21true214Email3355443216777215021441412882212026-10064any115Label633554432141511670210414435151301200Email:21true116Label533554432141511670248184251151405500Name of person for whom Mass is requested:21true217Name of person Mass requested for:335544323355443100482044282515030-10064any118Label7335544321415116702196344198151602100I request the Mass be celebrated at: 21true219Church Name3355443233554431001963602842517054-10064any120Label833554432141511670240365152151803900Church Name: 21false127Label1233554432141511670212839560151901500City:21false228Choice Church City3355443233554431001963911522520056-10064any129Label1333554432141511670235439731152102900State:21true930Church Choice State016777215644828152388392922122058-10false01--> Choosechoose2AlabamaAL3AlaskaAK4ArizonaAZ5ArkansasAR6CaliforniaCA7ColoradoCO8ConneticutCT9DelawareDE10FloridaFL11GeorgiaGA12HawaiiHI13IdahoID14IllinoisIL15IndianaIN16IowaIA17KansasKS18KentuckyKY19LouisianaLA20MaineME21MarylandMD22MassachusettsMA23MichiganMI24MinnesotaMN25MississippiMS26MissouriMo27MontanaMT28NebraskaNE29NevadaNV30New HempshireNH31New MexicoNM32New JerseyNJ33New YorkNY34North CarolinaNC35North DakotaND36OhioOH37OklahomaOk38OregonON39PennsylvaniaPA40Rhode IslandRI41South CarolinaSC42South DakotaSD43TennesseeTN44TexasTX45UtahUT46VermontVT47VirginiaVA48WashingtonWA49West VirginiaWV50WisconsinWI51WyomingWY147Label203355443214151167024827614440230800Please specify the Special Intention (if any):21false152Label2233554432-214748364800971124312202402400You will receive a confirmation via e-mail. Thank You.11false156Label233355443214151167019256094322501100 Mass Stipends (Choose):21true157Label24335544321415116700367404161842601300I wish to make a voluntary donation of $ to help support the network serving the needs of the faithful. Priests receive 100% of the Mass Stipend. MassRequest.org depends solely on donations to cover operating expenses. Your generosity is greatly appreciated. MassRequest.org is a non-profit, tax-exempt organization operating under Section 501 (C)(3) of the Internal Revenue Code. Please consult with your Certified Public Accountant to clarify your eligibility for a tax deduction.11false358Donation Amount3355443233554431002707385620270760032159Label2533554432141511670244424440802805200Please Note: If Masses are not available at your church of choice, the system will search for availabilities at churches (1) within the same zip code, (2) within the same diocese and (3) among all searchable Catholic Churches, including missionaries throughout the world.11false1262Submit Button167772154227072167772150120107027240291126000Click Here to Submit Your Mass Request1standard164Label26TAG_6433554432141511670248244144153005700Person is:21false265Special Intention DescriptionTAG_653355443233554431335544320200272281613105100-1999any767Person is living or deceasedTAG_67335544321415116733554432335544320212240249213205000false100167132101005616Living2027608216Deceased768I agree and understand the Mass request processTAG_68335544321415116733554432335544320445081912033065-10false1001631321010016016I understand and agree.769Single Mass tickboxTAG_69335544321415116733554432335544320220560136223406600false1001631321010012916$10 (Single Mass)370Number of Single MassesTAG_70335544323355443133554432037258032203506700030171Number of Single MassesTAG_713355443214151167335544320220584149163602700Number of Single Masses11true772Tridium tickboxTAG_72335544321415116733554432335544320220617191223706900false1001631321010016016$30 Tridium (3 Masses)373Number of TridiumsTAG_70335544323355443133554432034063732203807100030174Label10TAG_713355443214151167335544320220641112163905900Number of Tridiums11true775Novena tickboxTAG_75335544321415116733554432335544320220672191204007200false1001631321010016016$90 Novena (9 Masses)376Number of NovenasTAG_70335544323355443133554432034069232204107500030177Number of NovenasTAG_713355443214151167335544320220696112164206100Number of Novenas11true178Label14TAG_78335544321415116733554432180936186324307300TOTAL AMOUNT Mass Stipends + Donation = $21true380Total: Stipend + DonationTAG_8033554432335544313355443202729481282044077-1042181Label9TAG_81335544321415116733554432088988107164506200Payment Method: 11true782Credit Card tickboxTAG_82335544321415116733554432335544320204988184204607800false100163132101005416VISA2027609116MasterCard183Label15TAG_833355443214151167335544320761024118164706300Credit Card Number:11true384Credit Card NumberTAG_8433554432167772153355443202001020235224807900150VISAMasterCard$90 Novena (9 Masses)$30 Tridium (3 Masses)$10 (Single Mass)I understand and agree.LivingDeceased--> ChooseAlabamaAlaskaArizonaArkansasCaliforniaColoradoConneticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HempshireNew MexicoNew JerseyNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--> ChooseAlabamaAlaskaArizonaArkansasCaliforniaColoradoConneticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HempshireNew MexicoNew JerseyNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArial13pixel0000Arial13pixel-1000Arial12pixel0000mass4.1.64workflowform0typedhtmllivestats0alwaysinstanceid0reference_field_idlogonnonecategorydefaultbroadcastmass