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REGISTER

ST. JOHN OF GOD PARISH

Census Registration Form

If you have Not previously, please fill out the registrationform below. Please fill out the form completely and when you are finish, click the SUBMIT button at the bottom of the page..

New Member to the Parish	Check if New Member
Aaddress Change:	Check if New address and provide OLD Address Below
Contribution Envelopes:	Check if you need Envelopes
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Comments:	Enter comments here!