INFORMATION FORM


DATE: _______________

NAME: ___________________________________

ADDRESS: ________________________________

CITY: ____________________________________

STATE/ZIP: _______________________________

PHONE: __________________________________


I am interested in:

_______ being on your mailing list

_______ learning about the Catholic Faith

_______ participating in social events

_______ becoming a member of the parish


Comments: _______________________________

__________________________________________

__________________________________________

__________________________________________

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COPY THIS FORM to your e-mail, fill it out and send to: "vizstann@sbcglobal.net"

Or, PRINT THIS FORM and mail it to: Visitation/St. Ann's Shrine
                                                                     4515 Evans Ave.
                                                                     St. Louis, MO 63113

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