Group: All members of Mary of the Immaculate Conception
Campus: Mary of the Immaculate Conception

Mary Marx 320-253-5288

Parish Center $150

Damage Deposit $300

Don paid 2/13/22 and brought in form

Mailed forms 01-31-23 to:

cell: 320-250-9674

Don Simon

PO Box 157

Rockville, MN 56369