Our Lady of Guadalupe, according to thy message in Mexico I venerate Thee as the Virgin Mother of the true God for whom we live, the Creator of all the world, Maker of heaven and earth. In spirit I kneel before thy most holy image which thou didst miraculously imprint upon the cloak of the Indian Juan Diego, and with the faith of the countless numbers of pilgrims who visit thy shrine, I beg thy for this favor:
[Mention your request]
Remember, O Immaculate Virgin, the words thou hast spoken to thy devout client: "I am a merciful mother to thee and to all thy people who love me and trust in me and invoke my help. I listen to their lamentations and solace all their sorrows and sufferings." I beg thee to be a merciful mother to me, because I sincerely love thee and trust in thee and invoke thy help. I entreat thee, our Lady of Guadalupe, to grant my request, if this should be the will of God, in order that I may bear witness to thy love, thy compassion, thy help and protection. Do not forsake me in my needs.
Recite "Our Lady of Guadalupe, pray for us" and Hail Mary three times.