Unitarian Universalist Church of the South Hills

Giant Eagle Card Fund Raising Program Order Form

Today’s Date _______________________
Name _________________________________
Address _________________________________
  _________________________________
Phone _________________________________

CERTIFICATE DENOMINATIONS
No. of Certificates   Denomination   Sub-Total
____ x $25 = $ ____________
____ x $50 = $ ____________
____ x $100 = $ ____________
Total Order $ ____________

Amount Enclosed $ ____________ Send to my home ___
Pick up at church ___

Thank you! Please make your check payable to UUCSH.

Send order form and check to

Ellen Vegh

837 Ridgefield Ave

Pittsburgh, PA 15216

 

Please do not send checks to Sunnyhill!

For more information contact

Ellen Vegh

412-343-8486