Request for Testimonial/Celebret

Request for Testimonial/Celebret
Name of Priest*
Parish/Assignment*
Purpose of Travel*
Date or Date Range of Event

If longer than a single day, enter a date range.
Date/Date Range*
Parish/Institution That You Are Visiting*
Address*
(Arch)Diocese*
OFFICE OF THE CHANCELLOR

Diocese of Rockville Centre
PO BOX 9023
Rockville Centre, NY 11571-9023

Email: chancellor@drvc.org

Fax: 516-764-3316
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