Change of Contact Information for Registered Parishioners
Please fill out this form and click submit.
If your contact information has changed or you want to make sure we have the correct information on file please fill out this form and click submit.
Name
*
Name of Spouse (if married)
Current Address
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Old Address (if recently moved)
Current Email
*
This address will receive a confirmation email
Home Phone
Mobile Phone
Do you wish to remain a registered parishioner?
*
Please select one option.
Yes
No
Comments
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Description
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