O most holy Mother, I beg you to obtain for me pardon of all my sins, abundant graces to serve your Son more faithfully from now on, and lastly, the grace to praise Him with you forever in heaven.

Our Father, Hail Mary, Glory Be. 

[Here Mention your Request]

Hail and blessed be the hour and moment in which the Son of God was born of the most pure Virgin Mary, at midnight, in Bethlehem, in piercing cold. In that hour, vouchsafe, O my God! to hear my prayer and grant my desires, through the merits of Our Saviour Jesus Christ, and of His Blessed Mother. Amen. (15x)