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.