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.