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Become A Chapter or Diocesan Contact

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If you use AOL or WEBTV (some other ISP's) you may have problems using the provided application. Please send your message by email. Also note: this application does not ask for an email from you, because it is part of the message sent. If you are sending this for someone else, please include their email address in the text area. Thank You.

The web site needs members, officers and local parish contacts to send candidate members to that are interested in becoming members in the Holy Name Society. By completing this form, you are providing us with information we need to make available to interested candidates.

Individual Member Local Officer Parish Contact

Name :
Parish Name :
Address :
City :
State :
Zip :
Phone :

State County :

( NOTE: It is very important that you identify the county you are in so I can place a star on the state map. Any help placing that star (northern part of the county, southwest portion of the county, etc.) would be very appreciated. Thanks, the webmaster )

  • How long have you been a member of the Holy Name Society ?
  • Does your parish have a Holy Name Society ?
  • If your parish or society has a web site, what is the address ?
  • YOUR EMAIL ADDRESS

How did you hear of us or find our site ?

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Enter a message or comment here :


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