Name Nomination Form

NAME OUR NEW PARISH - St. Michael and St. Patrick Faith Community

NOMINATION FORM

All nomination forms for the new name of our parish are to be returned BY MARCH 1, 2012 to the RED collection boxes at all church entrances OR to St. Michael-St. Patrick Parish Office -521 Fair St.,  Lodi 53555 (Attention: Perish Merger Name Selection Committee)

PROPOSED NAME OF PARISH: ____________________________________________________

SUGGESTED FEAST DAY: ________________________________________________________

RATIONALE or REASON FOR NOMINATING THIS NAME FOR OUR NEW PARISH:

Proposed parish logo or symbol:

Submitted by: __________________________________________________________________