Please return completed form to:
PAULINE FATHERS' MONASTERY
"PENROSE PARK"
C/- POST OFFICE
BERRIMA, N.S.W. 2577
I wish to be included among the friends and benefactors of the Shrine of Our Lady of Mercy at Penrose Park. l would like to help in the further development of the Shrine and I enclose my donation as follows:
(please complete as appropriate)
a) Cheque/money order for $......................... payable to: PAULINE FATHERS' CHURCH FUND
b) Please charge my: (circle one) | Visa / Bankcard / Mastercard
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NAME: ....................................................................
ADDRESS:.............................................................................................................................
TELEPHONE: ( ) ...................................
Please tick
if receipt required [ ]If donation ($50) is for the Pilgrims Window
please indicate intention or names (e.g. family)
........................................................................................................................................
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©PAULINE FATHERS MONASTERY
"Penrose Park" NSW Australia, 1999
URL of this page: http://paulinefathers.org/eng/form2.htm
Last updated
by [Ryszard Majchrzak]