Miraculous Medal

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As a Promoter of the Miraculous Medal, the webmaster of this site is pleased to offer to enroll you in the Miraculous Medal Association at no cost to you. Simply complete the form below. You may enroll other members of your family, but please use separate applications. If you have questions, send email. This only enrolls you for one year...the Central Association will send you details on continuing your enrollment in the future. After submitting the form, you will be returned to the main page. If this form does not work let us know.

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IMPORTANT:
After completing the form below, if you want to receive a blessed Medal and a membership card, you must send a self-addressed #10 envelope to:
Memorare MM
5106 Roanoke Rd
Troutville, VA 24175

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EMAIL ADDRESS (required)


PLEASE INDICATE YOUR COUNTRY:


NAME


STREET ADDRESS


CITY, STATE AND ZIP


INDICATE CHILD, ADULT OR DECEASED (if enrolling another)

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