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Sacraments
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Annointing of the Sick
Mass/Holiday Schedules
Get Involved
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Chaldean Youth Mentoring
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Parish Info
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Trunk or Treat Car Registration
Trunk or Treat Car Registration
Trunk or Treat Car Registration
Noor Atisha
2024-09-25T12:19:08-04:00
Name
(Required)
First
Last
Email
(Required)
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone
(Required)
Number of Adults in the car
(Required)
1
2
3
4
5
6
7
8
Number of Children attending
(Required)
1 child
2 children
3 children
4 children
More than 4 children
Total Cost Per Car
This is whether decorations or not
Price:
If you would like to pay for the 3.5% CC Processing fee please click YES below
YES
CC Processing Fee
Price:
$0.00
Total
Credit Card
(Required)
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
Security Code
Cardholder Name
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