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Saint Gerald "Friends on Q" Membership Form
Yearly dues are $5.00/person.

First Name:___________________  Last Name:_____________________________

Spouse: _______________________________________________________________

Address: ______________________________________________________________


Phone Number:_____________________  Cell Phone: _______________________

Email Address: ________________________________________________________

If you have any questions please contact:  Rita Guenette at 402-980-5787

Dues can be paid several ways: Place in an envelope clearly marked
Friends on Q and put in the Sunday collection basket. Or mail/take to
St. Gerald Business Office, 7859 Lakeview Street, Ralston NE 68127

St. Gerald Catholic Church - 7859 Lakeview St, Ralston, NE 68127
Phone:(402)331-1955 - Fax:(402)339-8733