First Name*
Last Name*
Parish Name*
Diocese--Please Select --Archdiocese of AnchorageArchdiocese of AtlantaArchdiocese of BaltimoreArchdiocese of BostonArchdiocese of ChicagoArchdiocese of CincinnatiArchdiocese of DenverArchdiocese of DetroitArchdiocese of DubuqueArchdiocese of Galveston-HoustonArchdiocese of Indianapolis Archdiocese of HartfordArchdiocese of Kansas City in KansasArchdiocese of Los Angeles Archdiocese of LouisvilleArchdiocese of MiamiArchdiocese of MilwaukeeArchdiocese of MobileArchdiocese of New Orleans Archdiocese of New YorkArchdiocese of NewarkArchdiocese of Oklahoma CityArchdiocese of OmahaArchdiocese of PhiladelphiaArchdiocese of Portland in OregonArchdiocese of San AntonioArchdiocese of San FranciscoArchdiocese of Santa FeArchdiocese of SeattleArchdiocese of St LouisArchdiocese of St Paul and Minneapolis Archdiocese of the Military ServicesArchdiocese of WashingtonDiocese of AlbanyDiocese of Alexandria Diocese of AllentownDiocese of Altoona-JohnstownDiocese of AmarilloDiocese of ArlingtonDiocese of AustinDiocese of BakerDiocese of Baton Rouge Diocese of BeaumontDiocese of BellevilleDiocese of Biloxi Diocese of Birmingham Diocese of BismarckDiocese of BoiseDiocese of Bridgeport Diocese of BrooklynDiocese of Brownsville Diocese of BuffaloDiocese of BurlingtonDiocese of CamdenDiocese of CharlestonDiocese of CharlotteDiocese of CheyenneDiocese of ClevelandDiocese of Colorado SpringsDiocese of ColumbusDiocese of Corpus ChristiDiocese of CovingtonDiocese of CrookstonDiocese of DallasDiocese of DavenportDiocese of Des Moines Diocese of Dodge CityDiocese of Duluth Diocese of El Paso Diocese of Erie Diocese of EvansvilleDiocese of FairbanksDiocese of Fall River Diocese of Fargo Diocese of Fort Wayne-South BendDiocese of Fort WorthDiocese of FresnoDiocese of Gallup Diocese of Gary Diocese of Gaylord Diocese of Grand IslandDiocese of Grand Rapids Diocese of Great Falls-BillingsDiocese of Green BayDiocese of GreensburgDiocese of HarrisburgDiocese of HelenaDiocese of Honolulu Diocese of Houma-ThibodauxDiocese of JacksonDiocese of Jefferson City Diocese of JolietDiocese of JuneauDiocese of KalamazooDiocese of Kansas City - St JosephDiocese of KnoxvilleDiocese of La CrosseDiocese of Lafayette in IndianaDiocese of Lafayette in LouisianaDiocese of Lake CharlesDiocese of LansingDiocese of Laredo Diocese of Las CrucesDiocese of Las Vegas Diocese of LexingtonDiocese of LincolnDiocese of Little RockDiocese of LubbockDiocese of Madison Diocese of ManchesterDiocese of Marquette Diocese of Memphis Diocese of MetuchenDiocese of MontereyDiocese of NashvilleDiocese of New Ulm Diocese of NorwichDiocese of Oakland Diocese of OgdensburgDiocese of Orange Diocese of OrlandoDiocese of OwensboroDiocese of Palm BeachDiocese of PatersonDiocese of Pensacola-Tallahassee Diocese of PeoriaDiocese of PhoenixDiocese of PittsburghDiocese of Portland in MaineDiocese of ProvidenceDiocese of Pueblo Diocese of RaleighDiocese of Rapid CityDiocese of RenoDiocese of RichmondDiocese of RochesterDiocese of RockfordDiocese of Rockville CentreDiocese of SacramentoDiocese of SaginawDiocese of SalinaDiocese of Salt Lake CityDiocese of San Angelo Diocese of San BernardinoDiocese of San Diego Diocese of San Jose Diocese of Santa RosaDiocese of SavannahDiocese of ScrantonDiocese of Shreveport Diocese of Sioux CityDiocese of Sioux FallsDiocese of SpokaneDiocese of Springfield in IllinoisDiocese of Springfield in MassachusettsDiocese of Springfield-Cape Girardeau Diocese of St AugustineDiocese of St CloudDiocese of St PetersburgDiocese of St Thomas, VI Diocese of SteubenvilleDiocese of Stockton Diocese of SuperiorDiocese of SyracuseDiocese of ToledoDiocese of Trenton Diocese of TucsonDiocese of TulsaDiocese of Tyler Diocese of VeniceDiocese of VictoriaDiocese of Wheeling-CharlestonDiocese of WichitaDiocese of WilmingtonDiocese of WinonaDiocese of WorcesterDiocese of Yakima
City*
State*Please Select...AlaskaAlabamaArkansasAmerican SamoaArizonaCaliforniaColoradoConnecticutD.C.DelawareFloridaMicronesiaGeorgiaGuamHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMarshall IslandsMichiganMinnesotaMissouriMarianasMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoPalauRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVirgin IslandsVermontWashingtonWisconsinWest VirginiaWyomingMilitary AmericasMilitary Europe/ME/CanadaMilitary PacificAlbertaManitobaBritish ColumbiaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory
Zip Code*
Email Address*
Phone
Position at the parish*-- Please Select --APP AdminBusiness ManagerCommunicationsDeaconDevelopment/StewardshipDREEnvelope CoordinatorFinanceITPastorSchool
Number of households (Approximately)*
When would you like to implement a Parish Capital CampaignAs soon as possibleWithin the next 6 Months6 Months to a YearGreater than 1 YearPlease select an option that most closely describes your situation.
What is the financial goal/projects for the campaign? Additional Comments?