Name *

First Name

Last Name

Phone *

(###)

###

####

Mass Intention Name *

First Name

Last Name

Is this mass for a deceased person?

Yes

Preferred Date (Select only one) *

We will do our best to grant your date request, however if it is unavailable, we will place your request on the next available date.

First Available Mass Date

First Available Weekend Mass Date

Date Request (Note Below)

Date Request

MM

DD

YYYY

Donation *

You may Venmo your donation to CCSB9 with a note "mass card," you may submit via credit card online (this form will re-direct to our portal), or you may drop off cash to the office.

Venmo

Credit Card

Cash

Would you like a physical mass card? *

You may pick up a physical mass card in the office following submission of this form. Mass card requests are processed on Wednesdays and cards will be available for pickup on Thursdays.

Yes, pick up

No card needed