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Laminated Akita Eucharistic Prayer Card and
Certificate of Membership in the Associates of Akita
to all those who are willing to make the following commitments:

I will recite the short prayer daily.
I will say the Rosary daily.
I will wear the Scapular.
I will make at least one sacrifice daily in reparation to the Sacred Hearts.

Please include your information as follows:
Full Name:
Address:
City:
State:
ZIP Code:
Country:
Phone: (not required)
Email:

Mail to: Akita Certificate
Your name will be sent to Akita, Japan
and placed near the statue of Our Lady of Akita.