Mass Request Form

To schedule a Mass intention, please fill out the form below and include your offering of $10 per Mass.

Please place in collection basket or mail to:

Christ Our Hope RC Parish

1762 French Creek-Mina Rd, Clymer, NY 14724

In Memory of: ______________________________________________

Requested by: ______________________________________________

Proposed date(s): ____________________________________________

Contact name: _______________________________________________

Contact phone number: ________________________________________