Chippawa Lions ClubAnnual Carnival Draw Ticket Order Form |
| Please print off the form, fill it out
and mail with your cheque or money order to:
Chippawa Lions Club Please make
cheques or money orders payable to: Chippawa Lions Club |
| Please send me | ________ tickets.( $2.00 each, 3 for $5.00 or 15 for $20.00) |
| Total amount enclosed: | $ _____________ |
| Name: | _____________________________________ |
| Address: | _____________________________________ |
| _____________________________________ | |
| City: | _____________________________________ |
| Province/State: | _____________________________________ |
| Country: | _____________________________________ |
| Postal/Zip Code: | _____________________________________ |
| Telephone
Number: (include area code) |
_____________________________________ |
Tickets will be mailed once payment has been cleared by our bank( for personal cheques).
|
Thank You and Good Luck!! |
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