Youth Mission stockholder form

I N V E S T M E N T O P P O R T U N I T Y
The Youth of St. Agnes Parish are on a mission!

YES! I would like to become a St. Agnes Youth Mission stockholder. Enclosed please find my tax deductible donation for:

1 share @ $10.00

2 or More shares

TOTAL

Stockholder's Name:

Address:

City, State ZIP:

Phone:

Please complete, print and mail this form with your check payable to "St. Agnes Parish - Youth Ministry."

St. Agnes Parish Youth Mission
1484 Ninth Street
Green Bay WI 54304

For information, email Ellen Mommaerts or call 920 494-6450.

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