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Communications Request Form
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Name
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Phone
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Pray for Name / Nombre de la persona
*
What to pray for / Cual es la intención?
*
If the request is not for yourself, is the person to be prayed for aware of this request and do they give their consent? / Si la petición no es para usted, la persona le ha dado el consentimiento para compartir esta intencion?
Yes
No
Your name / Su nombre
*
Your relationship to the person / su relación con esta persona
Confidentiality - Do you want this on prayers of the people to be said out loud during Sunday worship? / Confidencialidad: Quiere que se comparta esta intención en la misa de los Domingos?
Yes
No
Would you like for a priest to contact you?/Le gustaria que un sacerdote le contacte?
Yes
No
For a follow-up, please leave your contact information: Your phone number and Your email address/ Para dar un seguimiento a su petición favor de compartir su número de teléfono y correo electrónico
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125 Monument Circle
•
Indianapolis, IN 46204
•
(317) 636-4577