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Request Giving Statement

- PLEASE FILL OUT THE FORM BELOW IF YOU WOULD LIKE TO REQUEST YOUR 2023 GIVING STATEMENT
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  It saves the parish both labor and expenses if we can email parishioner statements. Would you be comfortable receiving your statement via the email address above? REQUIRED Yes No Please fill out this field.
  
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