Saint John Vianney Center

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Please provide contact information for the clergy or religious you would like to honor with a Mass Intention Card for the Day of Prayer. Complete one form for each person you would like to honor. Names will be printed exactly as ordered. Cards will be mailed the week of October 1st, 2024.

Thank you for supporting our Church Ministers who have dedicated their lives to serving God’s people.

Qty

Description

Amount

Total

Mass Intention Card

$10.00

Yes, I would like to add 3.5% to help cover credit card processing fees.

Total: $10.00

Recipient's Contact Information

Sender's Name *

This name (s) will be printed on the card.

Recipient Name: *

This name will be printed on the card.

Recipient's Organization (Optional)

Example: Name of Parish, Convent, Rectory, Diocese, etc.

Recipient Address: *

Address 2:

City: *

State: *

Zip Code: *

Phone

Billing Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Check here to receive e-mail communications from us.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *