Saint Gerald "Friends on Q" Membership Form
  
  
  Last Name: ________________________________________________________
  
  
  First Name: _____________________  Spouse: ________________________
  
  
  Address: __________________________________________________________
  
  
  Phone Number: ___________________  Cell Phone: ____________________
  
  
  Email Address (optional)___________________________________________ 
  
   
  You can contact:
  Janet Rentko at 339-7910 
  Gary or Bobbi Petri at 331-0882 
  (or Petri@highstream.net )
   
  PLEASE ATTACH $5.00 DUES PER PERSON, PER YEAR.
  RETURN IN THE SUNDAY COLLECTION BASKET
  OR TO ST. GERALD BUSINESS OFFICE,
  7859 Lakeview Street, Ralston NE 68127