Authorization Agreement for Pre-Arranged Payments

This form is intended for people to make regular payments to Mary Our Queen Church for Sunday collections, Campaigns, or School tuition. Please print out the form. Complete and return the form to the business office, along with an attached VOIDED check (no deposit slips please) either through the collection basket or mail to:

Mary Our Queen Church
Attn: Daena
3535 South 119 Street
Omaha, NE 68144

Click here for a Microsoft Word version for download.

Click here for an Adobe PDF version for dowload