Name *

If a couple, enter both first names

First Name

Last Name

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

His Cell Phone

(###)

###

####

Her Cell Phone

(###)

###

####

His Date of Birth

MM

DD

YYYY

Her Date of Birth

MM

DD

YYYY

Status

Married

Single

Widowed

Affiliation *

UND Faculty

UND Staff

Grand Forks Community

Stewardship Preference

EFT (electronic fund transfer from savings or checking)

Giving Envelopes

I prefer to donate anonymously

Please mark the ways you would like to be involved at the Newman Center:

Lector/Reader at Mass

Distribute Holy Communion at Mass

Sacristan

Music at Mass

Help cook meals for church events

Help serve and clean up church events

UND vs NDSU Bike Race

I wish to receive the Newman Note email

Help with maintenance projects at the Newman House

Assist with events at the Newman House

I have skills or talents I would like to share that are not listed above