Office of Worship

Extraordinary Ministers of Holy Communion - Online Form

Area Faith Community

Pastor

First Name

Last Name

Email Address

Phone

(###)

###

####

Address where certificates should be sent

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of Extraordinary Minister

First Name

Last Name

Parish

Request Comissioning for

Name 2 of Extraordinary Minister

First Name

Last Name

Parish

Request Comissioning for