Print this form , then fill out and send in.
or
Tickets will be sent by return mail. Please include your return address in the section below.
I would also like to support Catholic charities with my donation of:
| ___ $1,000.00 & up Archangel | ___ $500.00 - $999.00 Guardian Angel |
| ___ $100.00 - $499.00 Angel | ___ $25.00 - $99.00 Patron |
How should your name appear?________________________________________________________ Church Affiliation:_________________________________
For more information call
Catholic Charities
at 217-428-3458
from 8:00 a.m. - 5:00 p.m. CST
Charity Ball
4274 N. Prospect Box 18
Decatur, Illinois 62526
Address: __________________________________________________
City:____________________________ State:________ Zip:__________________
http://www.catholic-forum.com/churches/decatur/catholiccharitiesform.html