Shrine Chapel Memorial Plaques

Shrine Chapel Memorial Plaque

Have your name, the name of your family, or of a loved one, living or deceased, inscribed on a memorial plaque and mounted in the Shrine Chapel of Our Lady of Czestochowa, the Black Madonna of Poland.

Memorial Plaques are $35.00 each.
Sample:
Mr. and Mrs. John Smith Family or John Smith

Add your inscription in the Comments Box on the following page.

Donation Amount:

$ 35

Your Name as Donor and How Would Your Like the Plaque to Read?

Add the exact wording to be added to your plaque in the Comments Section below.

Example:
Mr. and Mrs. John Smith Family
or
John Smith

Personal Info

Title

First Name *

Last Name *

Is this donation on behalf of a company?

No
Yes

Company Name

Email Address *

Make this an anonymous donation.

Comment

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency	One time
Donation Total

Donation Total: $35