Chippawa Lions Club

Annual Carnival Draw Ticket Order Form

To be announced for 2010 carnival stay tuned.

 

 
Please print off the form, fill it out and mail with your cheque or money order to:

Chippawa Lions Club
P.O. Box 935
Niagara Falls, Ontario, Canada
L2G 6V8

Please make cheques or money orders payable to: Chippawa Lions Club

Please send me ________ tickets.( $5.00 each or 3 for $10.00 )
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!!