Letter of Good Standing-Outgoing Priest

Date

MonthDayYear
THIS FORM IS ONLY TO BE USED BY THE PRIESTS OF THE DIOCESE OF MARQUETTE, MICHIGAN.
Priests' Letter of Good Standing (Celebret Letter) Request Form
Please provide the following information about yourself:
Select your name from the dropdown list below:
Type your name exactly how it should appear in a formal letter of good standing (ie Reverend Joseph Smith or Reverend Msgr. Joseph Smith)
Your name*

PrefixFirst NameLast Name
Ordination Date*

MonthDayYear
Will another priest be accompanying you?

YesNo
Additional priest name: (ie Reverend Joseph Smith or Reverend Msgr. Joseph Smith)

PrefixFirst NameLast Name
Additional priest-Ordination Date

MonthDayYear
Where do you reside?
Parish, Where you reside if applicable (Senior priest leave blank, please.)
Street Address*
City*
State*
Zip*
Your Email Address*

Confirmation Email
Your Contact Number, in case of questions*
Please provide the following information about where & when you will be celebrating Mass:
Name of Parish, Conference or Event:*
Contact for the Mass Celebration or Event: (With appropriate suffix: Most Rev., Rev. Msgr., Rev., Prior , Brother, Sister.)*
Street Address of Parish, Conference or Event:*
City-State (Zip, if known) of Parish, Conference or Event*
Diocese for location above, if known. (If International, select International and see input box at bottom of form.)
Date of Event or Start Date: (Required)

MonthDayYear
End Date: (Only required if you will be traveling for a period of time and celebrating multiple Masses)

MonthDayYear
Fax Number (only if you specifically need it faxed, otherwise will go out via U.S. Mail)

Area CodePhone Number
If other priests of the diocese should be included on the letter, please list their names and ordination dates:
If traveling outside of the U.S., please provide information on where to mail the Letter of Good Standing: (ie Archdiocese or Diocese)
Notes, Comments or Special Requests:
http://www.jotform.com/submissions/51535446793160
Should be Empty:

Priests' Letter of Good Standing (Celebret Letter) Request Form

Please provide the following information about yourself:

Please provide the following information about where & when you will be celebrating Mass: