Form for Requesting Membership to The Spiritual Apostolate

I am requesting spiritual membership into:

The Apostolate of Our Lady of Good Success

Date I request to be officially a member :______________________

Name: ____________________________________________

Address: __________________________________________

City/ State: ________________________________________

Zip code:  _________________________________________

Phone #:   _________________________________________

E-mail:  ____________________________________________

Please send to:

The Apostolate of Our Lady of Good Success

913 N. Lake Rd.

Oconomowoc, WI   53066 

or

E-mail to: ladyofgoodsuccess@sbcglobal.net