MARTYRS’ SHRINEcharitable registration #: 10767 3733 rr01

The Martyrs’ Shrine MissionThe Martyrs’ Shrine invigorates pilgrims through the story of the Martyrs and

their companions, who lived the mission of Jesus Christ.

Yes, I would like to support the mission of Martyrs’ Shrine with my gift of:

Donation Sheet

$25 $50 $100 Other: $_________

my prayer petitions

The Church

Peace and Justice

Spiritual Needs

Family

Healing

Vocations

Employment

Deceased Family& Friends

Reconciliation

Thanksgiving

Jesuit Ministries

Other: ______________________________________________________________________

The Martyrs’ Shrine AssociationThrough becoming a member of the Martyrs’ Shrine Association, you and your family will share in the spiritual community of prayers and benefit from a hundred Masses offered for you each year.

Receiving “The Martyrs’ Shrine Message” twice a year is an additional benefit

Yes, I would like to purchase a membership to the Martyrs’ Shrine Association

Offered for: (name of member)

_____________________________________________

Annual Family Membership ($25)

Perpetual for a Family Living or Deceased ($150)

Perpetual for a Living Individual ($75)

Perpetual for a Deceased Individual ($40)

The Martyrs’ Shrine Water System Replacement ProjectThe 88 year old water system of the Martyrs’ Shrine must be replaced to meet the needs of the thousands of pilgrims who visit each year.

Your extra contribution is needed towards the total cost of $465,000.

Yes, I would like to support the Martyrs’ Shrine Water System Replacement Project

$25$50

$100Other: $_________

My total donation is $ ___________________If you would like an income tax receipt for your donation of $25 or more, please provide the following information:

Name: _________________________________________________________

Address: _______________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Email: __________________________________________________________

Payment FormCheque

Visa

Mastercard

Securely Online (www.martyrs-shrine.com)

Toll-free: 1-855-526-3788

card #

______________________________ ______ / _______cardholder name expiry (mm/yy)

Please mail this form with your cheque or credit card information toMartyrs’ Shrine, P.O. Box 7 Midland, ON L4R 4K6All receipts will be issued in January of the following year.

served by jesuits

Please indicate the petition you would like us to pray for

________________________________ ____________cardholder signature date

thank you!