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Anniversary/Birthday Certificate of Congratulations Request Form

Application Form
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  Please print names IN FULL - no abbreviations or nicknames.
  
  Name(s) of Recipient(s) REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field.
  
  On the Occasion of REQUIRED Please fill out this field. Please enter valid data.
  
  Actual Date of Occasion REQUIRED Please fill out this field. Please enter valid data.
  
  Parish of Recipient(s) REQUIRED Please fill out this field. Please enter valid data.
  
  Parish City REQUIRED Please fill out this field. Please enter valid data.
  
  Pastor REQUIRED Please fill out this field. Please enter valid data.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Contact Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Submit