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
