COMMUNITAS

~ PAY ONLINE ~

Please fill out the form below and the click “Proceed to Payment” :

Name

First Name

Last Name

Home Parish Name and City

Business Name

Email

Phone Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Business website or/and phone #

Business Category (For example; restaurant, printing, legal, etc.)

Brief Business Description (To be used on the CATHOLIC BUSINESS DIRECTORY)