Mass Intention Request Form

 

 

I request Mass to be offered for: ____________________________________

 

Number of Masses _____*   Check here if this is a Mass for the deceased____

 

Your Name   _____________________________________________________

 

Your Phone Number  ______________________________________________

 

 

Check here to send Mass card to the one prayed for, or their family _____

and write name and address here:       _____________________________

                                                                        _____________________________

                                                                        _____________________________

 

Print, fill out and mail this form to the following address along with the customary offering*: 

 

Fr. John Martin Shimkus, O.S.B.

St. Benedict Monastery

2711 Drahner Road

Oxford, MI  48370-2815

* The customary offering for single Masses is $10 each. If you are requesting a set of 30 Gregorian Masses, please write “GM” in the space for “Number of Masses” and check the line that indicates the Masses are for the deceased.  The customary offering for a Gregorian Mass set is $300.  These Masses are offered for a soul in Purgatory.