St. Joseph Catholic Church

IGLESIA CATÓLICA SAN JOSE

218 E. 12th Street
Los Angeles, CA 90015

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  Please check on the following options / Por favor escoja una de las siguientes opciones: REQUIRED Baptism / Bautismo First Comunion / Primera Comunion: Confirmation / Confirmacion: Marriage / Matrimonio: Please fill out this field.
  
  FIRST NAME / PRIMER NOMBRE (FOR MARRIAGE INCLUDE BOTH / PARA MATRIMONIO INCLUYA LOS DOS) REQUIRED Please fill out this field. Please enter valid data.
  
  LAST NAME / APELLIDO (FOR MARRIAGE INCLUDE BOTH / PARA MATRIMONIO INCLUYA LOS DOS) REQUIRED Please fill out this field. Please enter valid data.
  
  DATE OF BIRTH / FECH DE NACIMINETO: REQUIRED Please fill out this field. Please enter valid data.
  
  DATE OF CELEBRATION (BAPT. FIRST COMUNION, CONFIRMATION, MARRIAGE) / FECHA DE CELEBRACION (BAUTISMO, COMUNION, CONFIRMACION, MATRIMONIO): REQUIRED Please fill out this field. Please enter valid data.
  
  FATHERS NAME / NOMBRE DEL PADRE: Please enter valid data.
  
  MOTHERS NAME (WITH MAIDEN LAST NAME) / NOMBRE DE MADRE (CON APELLIDO DE SOLTERA): Please enter valid data.
  
  Person to Contact / Persona de Contacto: REQUIRED Please fill out this field. Please enter valid data.
  
  EMAIL / COREO ELECTRONICO REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  OPTIONS / OPCIONES: REQUIRED MAIL / ENVIAR POR CORREO: PICK UP / RECOJER EN OFICINA Please fill out this field.
  
  ADDRESS/ DOMICILIO REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  *Note: We ask for a $20.00 donation per certificate. It takes a minimum of three to four weeks. *Make sure to contact our office after a week for an update.
  *Nota: Pedimos una donacion de $20.00 por certificado. Toma un minimo de tres a cuatro seamanas. *Llame a la oficina una semana despues para ver como va el proceso.
  
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