Print this form, fill it in completely include you check made  payable to:
The Shrine Bowl of the Carolinas.  
The mailing address is shown below.
Your tickets will be sent to you by return mail.
Each ticket requires a $5.00 donation
If you donate $20.00 a fifth (5th) ticket will be sent to you
 

SUPER BOWL TRIP CONTEST

Name:_________________________________

Address:_______________________________

City:___________________________________

State_________________ Zip_______________

Phone Number:___________________________

E-Mail:__________________________________

Number of Tickets:_______@ $5.00__=_________

 
 
 

MAIL TO:

377 Carowinds Blvd.
Suite 106
Ft Mill, SC 29708
803-547-0300
 ssenbel@shrine-bowl.com
 
 
Shrine Bowl of the Carolinas