subject_line
Household Details
Surname:
*
Home Phone:
Silent number
Yes
No
Home Address
Street Address
*
Suburb
*
Post Code
*
State
*
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postal Address:
*
Same as Home Address
Different
Street Address
*
Suburb
*
Post Code
*
State
*
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
I / We usually attend Mass at
If you attend various Masses, please select the one you attend most often.
*
Saturday 6:00pm
Sunday 7:00pm
Sunday 9:00am
Sunday 5:00pm
My / Our Planned Giving status is
*
Give via envelope pack
Give via Direct Deposit
Interested in becoming a Giver/s
Prefer to give loose on the plate
Unable to give at this time
Our Lady and St Dympna - June 2017