Jubilee Mass for Couples Celebrating their 50th Anniversary of Marriage & Their Families: August 5, 2018; 4pm

1. Registration Information

First Name *This question is required.

Last Name *This question is required.

Title

Parish

Street Address (where tickets will be mailed) *This question is required.

Apt/Suite/Office

City *This question is required.

State *This question is required.

Zip *This question is required.

Email Address This question requires a valid email address.

Phone Number (in case of issue with request) *This question is required.

2. Couple's Marriage Date This question requires a valid date format of MM/DD/YYYY.

calendar

3. Wife Full Name: *This question is required.

4. Husband Full Name: *This question is required.

5. How many tickets are you requesting for this Mass? *This question is required. This question requires a valid number format.