Mass Request Form | Immaculate High School

Immaculate High School is proud to honor requests for Mass intentions. Memorial Mass or Special Intention Mass requests are available for a $10 donation. To schedule a Mass, please complete the form below. Once the Mass has been scheduled, a Mass card will be sent to the recipient's address from IHS and will indicate the designated date and time of the Mass.

Required

1. Person and/or group making request:

First Namerequired

Last Namerequired

Maiden Name

Class Of

Contact Address (if Mass card is to be sent to person making request):

Contact Email Addressrequired

Contact Phone Number

2. Who the Mass if for:

The requested Mass offering is for: Family member contact name and address (if Mass card is to be sent to family):required

Address (please include zip code):required

PaymentrequiredFor coordinating and celebrating the Mass.

$10 ($10.00)

For coordinating and celebrating the Mass.

Payment Information

Emailrequired

Provide an email address for the receipt.

Please complete captcha below to proceed to payment selection.

Please select a payment typerequired

Card

Billing Addressrequired

Address

City

State/Province

Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Expirationrequired

Month

Year