* Indicates required field.

Your Information

Enter your Last Name
Enter your First Name
Enter your Phone Number
Enter your Email Address
Please select one option from above.
Please enter month and day of Feastday
Please select NO or YES to activate spouse information fields.
Enter Spouse's Last Name
Enter Spouse's First Name
Enter Spouse Phone Number
Enter Spouse's Email Address
Please select one option from above.
Please enter month and day of Feastday

Mailing Address

Please select NO or YES to activate children information fields.

Minor Children

In the above box use one line at a time enter your child's Name, DOB and Feastday

Financial Information - Please use weekly (preferably) or yearly contribution box.

I / We Commit the above amount per Week to Annunciation Church.
I / We Commit the above amount per Year to Annunciation Church.
I / We intend to fulfill my / our commitment on the following time table