Kiwanis Rose Day 2017 Donation $20 / dozen
Kiwanis Rose Day 2017 Donation $20 / dozen Long-stemmed beauties just in time to remember Administrative Professionals / Secretaries Day A Sweetheart, Parent, or To make someone feel special ORDER INFORMATION Mail the form below with donation By Friday, April 14 to: St. Charles Kiwanis Foundation P.O. Box 3 St. Charles, IL 60174 Fax this form: (630) 584-1396
My Kiwanis Rose Order Qty. of dozen roses ordered: _________ Qty. of vases: ____________________ Date Ordered: ____________________
QUESTIONS? Call 410-231-8324
Payment:
DEADLINE FOR ORDERS: Tuesday, April 18, 2017
Date Paid: _____________________
ROSE DAY PICK UP INFORMATION Tuesday, April 25, 2017 Baker Community Center 101 S. 2nd Street - main level Between 7 a.m. – 3 p.m.
o Cash (given to______________) o Check # ___________________ o VISA/MC/DISCOVER
*Retain top portion for your records
Yes! I want to help the St. Charles Kiwanis, Golden K, and Key Clubs raise funds to support local youth organizations and programs.
Name of person picking up roses: _____________________________________________________ Cell Phone____________________________ Buyer Name: __________________________________________ Day Phone: ___________ Eve. Phone: _____________________ Please order _____dozen roses at $20 each = $____________ Please order _____vases at $3 each = Order Total:
$____________ $____________
ROSE ORDERED FROM:____________________ Member Name:__________________________ □ □ □
Kiwanis Club Member Kiwanis Golden K Member Kiwanis Key Club Member
All orders must be prepaid: □ Cash □ My check # _______ (payable to “St. Charles Kiwanis Foundation”) is enclosed. □ Please charge my credit card : ____VISA ____MasterCard ____ Discover Card # _____________________________________ Expiration date: _________ CVC#: _________ Billing Address of Cardholder _________________________________________________________ City___________________________________ State__________________ Zip ______________ Mail this form with donation no later than Friday,
April 14 to: St. Charles Kiwanis Club, P. O. Box 3, St. Charles. IL 60174
My Kiwanis Rose Order Qty. of dozen roses ordered: _________ Qty. of vases: ____________________ Date Ordered: ____________________
QUESTIONS? Call 410-231-8324
Payment:
DEADLINE FOR ORDERS: Tuesday, April 18, 2017
Date Paid: _____________________
ROSE DAY PICK UP INFORMATION Tuesday, April 25, 2017 Baker Community Center 101 S. 2nd Street - main level Between 7 a.m. – 3 p.m.
o Cash (given to______________) o Check # ___________________ o VISA/MC/DISCOVER
*Retain top portion for your records
Yes! I want to help the St. Charles Kiwanis, Golden K, and Key Clubs raise funds to support local youth organizations and programs.
Name of person picking up roses: _____________________________________________________ Cell Phone____________________________ Buyer Name: __________________________________________ Day Phone: ___________ Eve. Phone: _____________________ Please order _____dozen roses at $20 each = $____________ Please order _____vases at $3 each = Order Total:
$____________ $____________
ROSE ORDERED FROM:____________________ Member Name:__________________________ □ □ □
Kiwanis Club Member Kiwanis Golden K Member Kiwanis Key Club Member
All orders must be prepaid: □ Cash □ My check # _______ (payable to “St. Charles Kiwanis Foundation”) is enclosed. □ Please charge my credit card : ____VISA ____MasterCard ____ Discover Card # _____________________________________ Expiration date: _________ CVC#: _________ Billing Address of Cardholder _________________________________________________________ City___________________________________ State__________________ Zip ______________ Mail this form with donation no later than Friday,
April 14 to: St. Charles Kiwanis Club, P. O. Box 3, St. Charles. IL 60174
