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St. Agnes Catholic Church

Memorials: A Beautiful Way of Giving


Please fill out and return this form to:


St. Agnes Church

2314 3rd Avenue

P.O. Box 349

Scottsbluff, NE.  69363-0349



Donor's Name _________________________________________________________


Address ______________________________________________________________


City ________________________________ State _________ Zip________________



Name of Deceased_____________________________________________________



Please Notify __________________________________________________________




City ________________________________ State _________ Zip________________



Relationship to Deceased (Friend or Relative) ________________________________



c GIFT ENCLOSED $___________________


c I am interested in an ENDOWMENT MEMORIAL


c I am interested in a PLANNED GIFT (will, trust, life insurance).


      I am interested in speaking with a representative of the Church and/or school

      concerning a possible gift in the future.




"A Memorial Gift can continue God's work long after our loved ones have passed into His hands."

    Saint Agnes Catholic Church
    2314 Third Avenue
    Scottsbluff, Nebraska 69361

    PH: 308.632.2541

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