Special Occasion Enrollment - Sacred Heart Southern Missions

All Occasion Card Enrollment

As a Gift of Prayer, your enrollee(s) will be remembered in the daily Mass and prayers offered at Sacred Heart Southern Missions for one full year.

*If you are looking for the Spiritual Society enrollment form for the deceased, please click here

Or to make a donation without enrolling someone at this time click here

(Note you will have the opportunity to request replacement cards after the enrollment has been made)

* If you have any question about how to fill this form out, please use our webchat (available during regular office hours, 8:30 AM - 4 PM, Central Time, Monday - Friday) click on the yellow banner located at the bottom right hand corner of this page containing the words "Click here to chat with someone."

*Please enter the name(s) and select the occasion. If enrolling multiple names for the same occasion, separate them with commas.

Enrollee(s) Name(s):

Select what the enrollment is for in the drop down box:

*If you need to enroll for a different occasion, add the name(s) and select the new occasion. If not, please leave the section below blank.

Enrollee(s) Name(s) 2:

Select what the SECOND enrollment is for in the drop down box:

Any financial gift you make is an answer to the prayers of those who struggle to provide for their families. It will ease their burdens and bring them comfort. Through you, they experience God’s care for the poor.

Field Is Required Select Gift Amount:

$10.00

$15.00

$20.00

$25.00

$35.00

$50.00

Enter Other Amount $

Enter amount

Billing Information

Title:

First Name:

Middle Name:

Last Name:

Suffix:

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal Code:

Country:

Email Address:

Payment Information

Payment Method:

Credit CardChecking Account

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

Checking Account Information:

Bank Routing Number: What is this?

Bank Account Number:

Verify Bank Account Number:

Account Type:

Checking
Savings

By checking this option, I agree to use my bank account as a payment method and authorize this organization to debit my bank account to fulfill my donation commitment.

Check Information

Yes, I would like to receive communication from Sacred Heart Southern Missions

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