White Robed Monks of St. Benedict

House Blessing Request Form

Peace be with you.
When we receive this form completed by you, we will be better able to serve you.
May Peace and Joy be to you and yours now and forevermore.
The White Robed Monks of St. Benedict

Please NOTE: Data Entry Protocols:
If requested data does not apply, please leave field empty.
Do NOT hit ENTER when supplying data as doing so SENDS the form.
Please use standard capitalization norms (i.e., Names: First, Middle, Last).
DO NOT enter data all in UPPER CASE or lower case. Please use standard capitalization norms.
Thank you. Many Blessings.

Please complete the following:
House Blessing Date (MM/DD/YY):
     Alt A House Blessing Date (MM/DD/YY):
     Alt B House Blessing Date (MM/DD/YY):
Family's Last Name:

Please enter today's date:
YES, this is a NEW House Blessing Request Form we are about to submit.
YES, this is an UPDATED House Blessing Request Form we are now about to submit.
We found this site by:
If *"Friend" or "Other", please type in name or source of contact:

Name of priest whom you may be specifically requesting to bless your home:

General Information:

First Name:

Middle Name:

Surname:
Please be sure to note without comma if "Jr." or "II"etc.)

E-mail address:

Home phone number with Area Code:

Work phone number with Area Code:

Cell phone number with Area Code:

Address:

Address:    Apartment/Suite:

City:

USA only, State-Abreviation:

USA only, State full name:

USA ONLY just 5 digit ZIP Code:

If in USA, to insure prompt processing of this form, PLEASE obtain and fill-in below your ZIP+4.
To obtain your ZIP+4 please click: USPS Zip Code Retrieval Unit. Your information (usually) will be saved. When +4 is obtained, just click browser's tool bar BACK button at top of USPS page to return to this form.

Zip+4 currently in USPS data base. YES  NO   If NO, then insert OOOO in next field.Thank you.)

Please enter ONLY +4 here:

Outside USA, Province:

Outside USA Postal Code:

Country:

Logistics Information:

House Blessing Date (MM/DD/YY):

Time:   AM PM

Contact Person:

Phone number with Area Code:

FAX number with Area Code:

E-mail address:

Approximate Number of Guests (maximum):

Additional Comments:

Thank you. Many blessings.
Peace and Joy to you and yours.
The White Robed Monks of St. Benedict Please PRINT this form for your records prior to clicking Submit.
Note: We strongly recommend that you send a separate e-mail to Web Master with Subject being Marriage Petition
and in message area: your contact e-mail, Last Names (1st Person-2nd Person), Date of Wedding (mm-dd-yy) and phone number.
We will confirm within 24 hours whether or not we received your petition. Thank you.

Type the number:

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White Robed Monks of St. Benedict
Post Office Box 27536
San Francisco CA 94127-0536 USA
Phone: 415-292-3228
e-mail:webmaster@whiterobedmonks.org
Page URL: http://www.whiterobedmonks.org/confap.html
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