Census

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

Envelope ID Number (If known) Please enter valid data.

Status REQUIRED Full time parishioner Seasonal or Part - Time Parishioner Occasional Visitor / Non-parishioner I have moved and I'm a member elsewhere. I'm no longer a member. Please fill out this field.

Please Send Me (select all that apply) REQUIRED Calendar Raffle Tickets Bazaar Raffle Tickets Picnic Raffle Tickets Annual Contribution Statement Donation Envelopes SEND NO MAIL Please fill out this field.

How many raffle tickets would you like to receive? (If selected above) Please enter valid data.

Please list any contact information changes here.

Dushore, PA

Immaculate Heart
of Mary Parish

Census