Saint Agnes School Hall

Featuring :

Stump

Cash Bar, Prizes and Raffles

Tickets: $25.00 each (Last date for tickets – Oct. 20) Limited to 200 or 25 teams of 8.

Proceeds to benefit: Saint Agnes School/ Alumni Scholarship Fund

Detach and return with check payable to St. Agnes School.

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Name: ______________________________________________ Class of ____________

Address: _______________________________________________________________

City/Town: _______________________________________Zip Code: ______________

Number of Tickets: __________ Amount enclosed: _____________

If requesting a reserved table for eight, under what name or class would you like the table to be reserved? Team Captain or contact person:___________________________

I am unable to attend but would like to make a tax-deductible donation to the Alumni Scholarship Fund.

_____ $25.00 _____ $50.00 ______ $100.00 _______ Other