St. Tikhon's Monastery
Liturgy Commemoration Form

Please submit different forms for the living and the departed.

Your Email Address

Your Name and Address

Status of the Person(s)

Person(s) to be Prayed For
Please enter the name of Orthodox Christians followed by the intention in the box below. No more than five (5) names please.

Person(s) to be Prayed For
Please enter the name of Non-Orthodox individuals followed by the intention in the box below. No more than five (5) names please.

Requested Date
Please enter a specific date, 'as soon as possible' or 'urgent' for critical situations.)




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