Third Order of Penance of St. Dominic

 Sacramental Request        

Please fill out the following form, so that we may send you Our Lady's gifts...

Please provide the following contact information and a delivery address:

First Name *
Last Name *
Middle Initial
Street Address *
Address (cont.)
City *
State/Province *
Zip/Postal Code *
Country *
Home Phone *
E-mail *

* These fields are required to have sacramental request processed

(Sorry- International orders are no longer processed: USA and Canada only)

Please provide the following ordering information:

Brown Scapular     (mandatory minimum donation $ 0.35 per sacramental)
Green Scapular
Rosary Beads
Miraculous Medal

Request require donation prior to delivery. All internet request will be put on hold until donation is received.

Please make donation in US Dollars

Please cover cost of shipping and handling by following USPS shipping rates.

How did you hear about the Third Order of Penance of St. Dominic?


To Print:

Step 1-Fill out form

Step 2-Press Control All (Ctrl + A)

Step 3- and then Print

Step 4- send in Request at provided address with check or money order.


Please enclose check or money order made payable to: Willing Shepherds of Jesus Christ Chapter


Send to:

Sacre Heart Church

321 South Broadway

Lawrence, MA 01843


You will receive your sacramentals within 2 weeks

Copyright 2012 [Third Order of Penance of St. Dominic-Willing Shepherds of Jesus Christ Chapter.]. All rights reserved.
Revised: 07/18/12