Saint Valentine Parishioner Update Form

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New Parishioners are requested to register in the Parish as soon as possible.
If you have updated information please also use this form to notify us of changes in address, phone number or email. This form uses Google Drive to store the information.

Saint Valentine Church - 125 North Spring Street, Bloomfield NJ, 07003

Name *

Street Address *

City *

Zip *

Phone Number *

E-Mail Address *

Type of Update *

New Registration

Change of Address

Moving Out of the Parish

Request to Receive Envelopes

No Longer Want to Receive Envelopes

Sign me up for Emails (Weekly via Flocknote)

Sign me up for Emails (Monthly via Flocknote)

Other:

Required

Additional Information (Optional)

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