___________ ____, ______
(Date)

Dear ________________,
Request permission to take Holy Communion to the below individuals…

In the name of this congregation,
I send you forth bearing these holy gifts
to share the Holy Communion
with those prevented from attending the parish Eucharist:

________________________________
(Communicant's Name)
________________________________;
(Address)
________________________________;
(Phone)
(__:__ - __:__)
(Time)

________________________________
(Communicant's Name)
________________________________;
(Address)
________________________________;
(Phone)
(__:__ - __:__)
(Time)

________________________________
(Communicant's Name)
________________________________;
(Address)
________________________________;
(Phone)
(__:__ - __:__)
(Time)

________________________________
(Communicant's Name)
________________________________;
(Address)
________________________________;
(Phone)
(__:__ - __:__)
(Time)

________________________________
(Communicant's Name)
________________________________;
(Address)
________________________________;
(Phone)
(__:__ - __:__)
(Time)

So that those to whom you may go may share with us
in the Communion of Christ’s Body and Blood.
We who are many are one body in Christ.
We all share one bread, one cup.
Amen



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This page last updated on 4-27-2008.
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