Mass Enrollment Cards - SECURE Online Order Form

You do not need to send the offering until the card is used

Due to the high cost of postage, cards are replaced as they are used.

Please provide the following contact information:

      First Name 
       Last Name 
 Title (Mr.,Mrs.,Ms.) 
  Street Address 
 Address (cont.) 
            City 
  State/Province 
 Zip/Postal Code 
         Country 
          E-mail

Are you presently on our mailing list ?

Yes No
Select the type of card(s) you would like to order: (Any additional offering to help us in our works would be greatly appreciated.)

Click on the card for a larger view:

NEW! Inspirational Enrollment ($5 offering)
           Quantity

Perpetual Enrollment A ($5 offering)
          Quantity

Perpetual Enrollment B ($10 offering)
           Quantity

Healing Enrollment ($5 offering)
          Quantity

Five Year Enrollment ($3 offering)
          Quantity

Get Well Enrollment ($2 offering)
          Quantity

Birthday Enrollment ($2 offering)
          Quantity

All Occasion Enrollment ($2 offering)
          Quantity

Special Occasion Enrollment ($2 offering)
          Quantity

I have used a I have also used a I have also used a

Name(s) to be enrolled:

Please charge my credit card:

Total Billed	$
Credit Card
Cardholder Name
Card Number
Expiration Date

Mass Enrollment Cards - SECURE Online Order Form

Copyright © 1999 [Our Lady of Angels Association]. All rights reserved. Revised: February 18, 2008

Copyright © 1999 [Our Lady of Angels Association]. All rights reserved.
Revised: February 18, 2008