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De La Salle Provincialate

1522 Carmel Dr.

Lafayette, LA 70501

(337) 234-1973

FAX (337) 261-1014

 

St. La Salle Auxiliary Application Request

To receive an application to enroll a deceased relative or friend in the St. La Salle Auxiliary, please provide the  information indicated below.
The requested number of application forms will be mailed to you.  NOSF Welcome button

Please provide the following information:

First Name
Last Name
Street Address
Address (cont.)
City
State
Zip
Number of forms desired
Living  
Deceased
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Revised: 04/10/10

 

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