The Membership of the Missionaries of Mercy Please print, complete, and mail this form to: Susan Zook, Missionaries of Mercy Coordinator SOLT Office of the Laity PO Box 224, Robstown, TX 78380 NAME: First: _____________________________________   Last: ______________________________________ ADDRESS: Street: ________________________________________________________________________________ City: _____________________________________   State/Zip or County: ___________________________ Country: ______________________________________________________________________________ Email: ________________________________________________________________________________ PARISH & DIOCESAN AFFILIATION: Name(s): _____________________________________________________________________________ DATE: ________________________________________________________________________________ SIGNATURE: ___________________________________________________________________________