PLEASE PRINT CLEARLY OR USE SELF-ADDRESSED LABELS
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Name: _______________________________ Street: _______________________________ City, State, Zip: ________________________ Sold by: ______________________________
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Name: ______________________________ Street: ______________________________ City, State, Zip: _______________________ Sold by: _____________________________
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Name: _______________________________ Street: _______________________________ City, State, Zip: ________________________ Sold by: ______________________________
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Name: ______________________________ Street: ______________________________ City, State, Zip: _______________________ Sold by: _____________________________
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Name: _______________________________ Street: _______________________________ City, State, Zip: ________________________ Sold by: ______________________________
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Name: ______________________________ Street: ______________________________ City, State, Zip: _______________________ Sold by: _____________________________
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Name: _______________________________ Street: _______________________________ City, State, Zip: ________________________ Sold by: ______________________________
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Name: ______________________________ Street: ______________________________ City, State, Zip: _______________________ Sold by: _____________________________
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Name: _______________________________ Street: _______________________________ City, State, Zip: ________________________ Sold by: ______________________________
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Name: ______________________________ Street: ______________________________ City, State, Zip: _______________________ Sold by: _____________________________
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Name: _______________________________ Street: _______________________________ City, State, Zip: ________________________ Sold by: ______________________________
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Name: ______________________________ Street: ______________________________ City, State, Zip: _______________________ Sold by: _____________________________
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Name: _______________________________ Street: _______________________________ City, State, Zip: ________________________ Sold by: ______________________________
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Name: ______________________________ Street: ______________________________ City, State, Zip: _______________________ Sold by: _____________________________
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Name: _______________________________ Street: _______________________________ City, State, Zip: ________________________ Sold by: ______________________________
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Name: ______________________________ Street: ______________________________ City, State, Zip: _______________________ Sold by: _____________________________
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Name: _______________________________ Street: _______________________________ City, State, Zip: ________________________ Sold by: ______________________________
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Name: ______________________________ Street: ______________________________ City, State, Zip: _______________________ Sold by: _____________________________
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Name: _______________________________ Street: _______________________________ City, State, Zip: ________________________ Sold by: ______________________________
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Name: _______________________________ Street: _______________________________ City, State, Zip: ________________________ Sold by: ______________________________
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ST. JOHN THE EVANGELIST SCHOOL
CALENDAR SWEEPSTAKES FORM
Due October 15, 2011
FAMILY NAME _______________________________
(Please Print)
AMOUNT DUE $350 PER FAMILY
Cash $________________
Name on Check ________________________________
Check # ___________ Amount $_________________
Paid through www.givecentral.org Amount $_________
$ Checks Payable to St. John the Evangelist School $
Please return this form to the school office with your PRINTED & CUT stubs.
