I would like to have Lake City Saints please accept my tax deductible contribution of $________
I would like to donate the following raffle/foursome prizes:
____________________________________________________
Amount enclosed (check)
$__________ Date _____/_____
(make checks payable to ________________________
Signature
______________________________________
Company ______________________________________________________________
(As you would like it to appear on signage)
Contact Name ______________________________________________________________
Address ______________________________________________________________
Daytime phone number ____________ E-Mail _______________
Fax _________________