Our Lady of the Assumption Church

Our Lady of the Assumption
Special Event Registration

If you have any questions regarding registration and payment, call (404) 261-7181 (ext 132) or e-mail ljavadi@olachurch.org.

How would you like to allocate your payment? *

Total payment amount: $0.00 (U.S. Currency)

Please add the number of people in your party:

500 characters left

Payment Options *

Debit Card or Credit Card

Checking/Savings Account

Card Number

Expiration Date

Security Code (CVV2)

Account Type(U.S. Banks Only)

Routing Number

Account Number

First Name *

Last Name *

Company

Title/Position

Billing Address *

City *

State *

Zip *

Province

Postal Code

Country *

U.S. Phone

() -

International Phone

Email *

All payments provided to Our Lady of the Assumption Church comply with U.S. laws and regulations.