Office of Radio & Television - Prayer/Intention Request Form
For your convenience we have provided you with this Prayer/Intention Request Form. Please print this form by clicking the printer icon in your browser's navigation bar, complete it and mail it together with your donation to: Office of Radio & Television, 15 Peach Orchard Road, Prospect, CT 06712-1052. If you are unable to print this form please include this information in a note with your donation. Thank you.
Dear Fr. John,
I wish to make the following sacrifice to help keep the Mass on television.
[ ] $10 [ ] $15 [ ] $25 [ ] $50 [ ] $75 [ ] $100 [ ] $250 [ ] Other $_______
For your convenience you may make your donation by check/money order or credit card.
[ ] Check/Money Order (made payable to the Office of Radio & Television)
[ ] American Express
[ ] Discover Card
[ ] MasterCard
[ ] Visa
Security Code (3 or 4 digits):
PLEASE PRINT AND INDICATE WHETHER LIVING OR DECEASED
Please pray for my special intention (name):
[ ] Living [ ] Deceased
Please mail this completed form together with your donation to:
Office of Radio & Television
15 Peach Orchard Road
Prospect, CT 06712-1052
Telephone (203) 758-7367
It may take up to TWO months before your request appears on the television Mass. However, I will personally pray for your intentions as soon as I receive them. Thank you for supporting the television Mass and Bringing Good News to Life!
Have a Rainbow Day,