Central Catholic Vikings Baseball Boosters 2018 Super Bowl Squares Fundraiser ----------------------------------------------------------------------------------------------------Please complete the following form for square purchase and return to the seller or mail to Chris Vigliotti, along with your cash or check (payable to Central Catholic Baseball Boosters) for the total amount due. Seller’s Name __________________________________________________________________________ Participant’s Name ____________________________________________________________________ Participant’s Email Address ___________________________________________________________________________________________ Participant’s Mailing Address Number of squares purchased: _____________ x $20 Amount enclosed: $_____________ Individual squares will be assigned on a first-come, first-served basis. FORM & MONEY CAN ALSO BE MAILED TO: Chris Vigliotti 1328 Della Drive Verona, PA 15147 Payout: $100 (1st); $300 (Halftime); $200 (3rd); $400 (Final)