Special Occasions (Sanctuary Lamps, Papal Blessings, Blessings Only)
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Special Occasion:
○ Wedding Anniversary
○ Memorial
○ Birthday
○ Other ________
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Sanctuary Lamp # _______ Week: _________________ $15.00 Paid: cash_____ Check # _____
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Papal Blessing: 10
th, 25
th, 30
th, 40
th, 50
th, 60
th, 70
th /
Cost: $50.00 Paid: cash_____ Check #_____
Note: we need 8 week’s notice for Papal Blessing to be ordered, delivered & framed □
Blessing Only: Yes _____ No: _____
Today’s Date: _____________________________________________________________________
Offered by: ____________________________________________
Phone # ____________________
Names: __________________________________________________________________________
In Memory of: ____________________________________________________________________
Actual Date of Special Occasion: ______________________________________________________
To be celebrated at mass on: ___________________________________ Time: ________________
Pews Reserved: ___________________________________________Left side ____ Right side: ____
To be collected from office: ____________________________________________________
Sanctuary Card required: ____________________________________________________________
Special requests: ___________________________________________________________________
_________________________________________________________________________________
For Office Use Only: Enter in mass book: _________________ (initials) _____________ (date)
Enter in Black Book for Sanctuary Lamp: _________________ (initials) _____________ (date)
Enter in Sanctuary Lamp spreadsheet: _________________ (initials) _____________ (date)
Enter in blessing/papal blessing spreadsheet: _________________ (initials) _____________ (date)
Enter in Computer (P. Gray) _________________ (initials) _____________ (date)