Mass Intention Custodian Record

Today's Date REQUIRED Please fill out this field. Please enter a date.

Requested by

List the person’s name or names to be listed on record in the requested by section in the Mass Book.

Please enter valid data.

Step #1 Specific Intention

Specify Intention REQUIRED + For the Eternal Repose of the Soul For the Living Other, please list below Please fill out this field.

Other (In prayerful remembrance): Please enter valid data.

Please offer the Holy Sacrifice of the Mass for: REQUIRED Please fill out this field. Please enter valid data.

Location Historic St. Boniface Catholic Church (Parish #076) St. Meinrad Catholic Church (Parish #137)

Date Requested

Honor a loved one during the celebration of Mass - for the living or the deceased, or for prayerful remembrance of anniversaries, birthdays, and other special intentions.

Please enter valid data.

Date Requested Unavailable, Next Available

Honor a loved one during the celebration of Mass - for the living or the deceased, or for prayerful remembrance of anniversaries, birthdays, and other special intentions.

Please enter valid data.

Number of Masses Please enter an integer (number) from 0 to 10.

If not using a credit or debit card, check must be payable to the church where Mass Intention is offered.

Donation Amount Please enter valid data.

Step #2 Requested By

If record is complete, skip to Step #3. Check box below to confirm.

Parishioner or Patron Record in Database Complete: Yes No

First Name Please enter valid data.

Last Name Please enter valid data.

Street Address Please enter valid data.

Mailing Address

Please identify an address, e.g., PO Box, if different from Street Address.

Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Email Please enter an email address.

Step #3 Notification of Gift

If Mass Intention is from someone other than immediate family, an acknowledgement letter is to be created and sent by Communications.

Do you want someone to receive a notification - A Mass Card - for this intention? Yes No

Person to be Notified Please enter valid data.

Email Please enter an email address.

Mailing Address Line 1: Please enter valid data.

Mailing Address Line 2: Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Step #4 Method of Payment

Please verify your payment method. REQUIRED I will place my donation in afterhours drop box located at the east entrance (4th Street) of the parish office within 48 hours. I will place my donation in the Stewardship Envelope designated for a Mass Intention in the offertory collection in church next Sunday or Holy Day. I will place my donation in US Mail within 48 hours to St. Boniface / St. Meinrad Parish Office P.O. Box 8 St. Meinrad, IN 47577-0008 My donation was made In Memory / In Honor of a loved one. My donation was made at Parish Office. My donation was made online. Please fill out this field.

Step #5

FOR OFFICE USE ONLY

PARISH LOCATION:

Select Parish Location

DAY OF THE WEEK:

DATE: Please enter a date.

A Mass Intention cannot be scheduled on a Holy Day or Federal Holiday.
Missa Pro Populo 4 p.m. Saturday = Even Years
Missa Pro Populo 6 a.m. Sunday = Odd Years
No substitutions.

TIME:

DONATION AMOUNT: Please enter valid data.

PAYMENT MADE BY:

CHECK #: Please enter valid data.

Mass Intention Custodian Record

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Step #1 Specific Intention

Step #2 Requested By

Step #3 Notification of Gift

Step #4 Method of Payment

Step #5

FOR OFFICE USE ONLY