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*: 


Br. Mark Orcutt, 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”.  The customary offering for a Gregorian Mass set is $300.