LAST
NAME OF DECEASED
(eg: Smith) |
|
FIRST
NAME OF DECEASED
(eg: Peter)
|
|
|
MASS
RITE: (Optional)
|
|
Day of Death of 3P
(or chosen day) |
|
Month of Death of 3P
(or chosen month) |
|
Please note if you do not know
the date of death then please choose a day which you think is
appropriate for the person enrolled eg: Patronal Feast Day etc.
|
LAST NAME
OF PROXY
(Capitals
- eg: SMITH) |
|
FIRST
NAME
OF PROXY
(eg: David) |
|
|
ADDRESS/No & Street |
|
| CITY - TOWN |
|
| STATE |
|
| COUNTRY |
|
| ZIPCODE |
|
| EMAIL
ADDRESS |
|
| CONFIRM
EMAIL |
|
|
As
proxy (sponsor) of the abovenamed Third Party I hereby undertake to
arrange the Mass each year for the FOSS novena on account of this
membership. I understand that this Mass is to be said for the
Holy Souls and deceased members of FOSS and not for the Third Party I
have enrolled. |