Cooperator Appointment

    Name & Last Name

    Birthdate

    Occupation

    Marital Status

    Wife's Name

    Email

    Cell Phone

    Address

    City

    State

    Zip Code

    Check all that apply

    Cooperator Acceptance Date

    Proposed by

    I consent that the Prelature of Opus Dei can use this information for its pastoral and formative activities. I also consent that this information can be shared with any other circumscription of the Prelature for the same purpose. I understand that I can exercise my rights to protect my personal information by writing to 770 S Windsor Blvd. Los Angeles, CA 90005 or to info@windsorla.org

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