Apr202014
The work of DignityUSA on April 20, 2014 is proudly sponsored by Robert Downtain.
"My first day at Dignity in 1976"

Dissolution of Holy Union

Dissolution of Holy Union

The persons listed have a Holy Union registered with DignityUSA National Registry. The persons hereby agree that the Holy Union is dissolved and wish to have their Union removed from the Registry of DignityUSA immediately.

 

 

 Please Print

First Person

Second Person

Full Name:

 

 

Address:

 

 

City:

 

 

State & Zip:

 

 

Signature(s):

 

 

Date of Holy Union:

Chapter:

 

 

Chapter President/Representative:

________________________________________________

The individuals listed above were united in Holy Union Service.

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