St. Bernadette
Catholic Church

15500 El Camino Real Houston, TX 77062

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Address Change Form

- About Us

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- Your Full Name REQUIRED Please fill out this field. Please enter valid data.
- Spouse's Full Name Please enter valid data.
- Old Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
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  Zip REQUIRED Please fill out this field. Please enter a zip code.
- New Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
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  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Date change takes effect REQUIRED Please fill out this field. Please enter valid data.
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