Sign Up or Order Materials

*Please use our Resources page to make note of any titles you wish to order before filling out this form

*If you are an existing EWTN Media Missionary you only have to fill out the boxes labeled in red, then fill in the order (use the “Comments or Questions” section to list any orders NOT on the form), then submit.

Are you a new or current EWTN Media Missionary?
I would like to join the EWTN Media Missionaries in bringing the Eternal Word to my parish and community.

I am already an EWTN Media Missionary, and I would like to order materials, or update my personal information.

All information submitted in the form below will be kept confidential and will not be shared or sold. Your contact information will be shared with your local Area Coordinator volunteer, who will keep you up-to-date on activities to increase awareness of EWTN in your area.

*Please indicate in the “Comments or Questions” section:
1- Title & quantity of materials NOT in the Order form (below), which you would like to receive.
2- Changes in quantity of Program Schedules you would like to receive on a RECURRING BASIS (3 times a year)
3- Updates to personal information
What is your full name?
What is your mailing address?
How may we contact you?
What Parish are you member of?
Who is your television provider?
How are you willing to volunteer as an EWTN Media Missionary?
1. Parish Involvement - Increase awareness of EWTN at your parish, on your own, or with the help of others.

2. Public Outreach - Take EWTN outside the doors of your home and your parish to the world around you.

3. Personal Prayer - Keep the intentions of EWTN and the Media Missionary program in your daily prayers.

Existing - I am an existing EWTN Media Missionary, please keep my existing role(s)

Are you ordering materials / resources?
Please send me:

Please send me a Starter Packet of materials, I am a NEW EWTN Media Missionary.

*Please indicate in the “Comments or Questions” section, any other material requests (TITLE & QUANTITY)

Please send me the following free materials below, I am an EXISTING EWTN Media Missionary. Indicate the quantity that you would like to receive in the box provided; suggested quantities are listed below each box.

*Also, if applicable, please indicate in the “Comments or Questions” section:
1-Change in quantity of Program Schedules you would like on a RECURRING BASIS (3 times a year).
2-Other materials NOT in the Order form, TITLE & QUANTITY.
What materials or resources are you ordering?

* If you are a NEW EWTN Media Missionary you will be put on our list to receive 25 Program Schedules each time they are updated (about 3 times a year, “Recurring Basis”).

Do you have any questions or comments?
*Indicate item TITLE and QUANTITY when ordering resource materials. Also, if applicable, note any updates to personal information or changes to Recurring Network Highlight quantity.

Comments or Questions:
* Limit 300 Characters

Consent & Verification:

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Thank you for choosing to be an EWTN Media Missionary! | 205.795.5771