COrpus Christi Catholic Church

Building the Body of Christ

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Mass Intention Request

- The maximum number of form submissions has been reached. This form is currently not available.
  
  Please use this form to submit a Mass Intention Request.
  
  Please answer all the questions. After you click on 'submit', you will receive a reply email appearing to be from eCatholic with your responses to the questions.
  
  Pat Tillery will be in touch with you within 3 business days confirming your request.
  
  Who are you requesting a Mass Intention for (max 50 characters)? REQUIRED Maximum 50 characters Please fill out this field. Please enter valid data.
  
  Is this person Living or Deceased? Living Deceased
  
  In this section, please enter today's date, your name and your contact information.
  
  Today's Date REQUIRED Please fill out this field. Please enter a date.
  
  First Name and Last Name of person requesting the Mass REQUIRED Maximum 50 characters Please fill out this field. Please enter valid data.
  
  Address of person requesting the Mass (max 50 characters)? REQUIRED Maximum 50 characters 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 of person requesting the Mass REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number of person requesting the Mass REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Please enter the first and last name of the person completing this form REQUIRED Please fill out this field. Please enter valid data.
  
  Please enter the name and contact information for the person the Mass Card should be mailed to:
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address of person receiving Mass Card (max 50 characters) 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.
  
  Please click on the 'submit' button to submit your request. You will receive a confirmation email appearing to be from eCatholic documenting your request.
  
  Pat Tillery will respond to your request within 3 business days letting you know the date and time of the Mass.
  
  Submit
  
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