Visitors Contact

Please take a minute to share your interests or concerns

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Name

First Name

Last Name

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Please Check all that apply:

First time visitor

Returning visitor

Please have the Pastor call me

I would like to know more about this church

I would like information on becoming Catholic

I would like information on returning to the Catholic church

Date you visited:

MM

DD

YYYY

Mass you attended:

Are you Catholic?

Yes

No

Church you belong to:

How did you hear About St. Bernardine's Church?

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