Saint Kilian Parish Prayer Shawl Request

Saint Mark Parish Prayer Shawl

Request Form

Name of Person Completing this Form*

First Name

Last Name

Your Email Address *

Phone Number to Reach You at if There are Questions*

Shawl Recipient Information

Recipient's Name - Will be Kept Confidential*

First Name

Last Name

Reason for Prayer Shawl*

Type of Prayer Shawl*

Adult Infant

Gender*

Male Female

Color Preference

ie: Blue, Red, Yellow, etc.

Date Needed By*

Shawl Delivery Method

If the recipient of this prayer shawl is local, please pick your shawl up either Saint Kilian or Holy Sepulcher Church Offices and deliver the shawl to the recipient personally. At this time, we can only ship to recipients who are out of town.

Delivery Method*

Pick Up at Saint Kilian Church Office Pick Up at Holy Sepulcher Church office Mail to the Out of Town Recipient

Recipient Address (only the middle line below may be left blank)*

Address Line 1

Address Line 2

City

State

ZIP Code