St Elizabeth Ann Seton Parish Rewards Program Vendor Name________________________ Vendor Signature_________________________ Date of Transaction___________________ Total Donation $__________________________ Customer Name______________________ Vendor Phone #__________________________ Customer Address______________________________________________________________ 50% of vendor donation goes directly to the Parish Rewards Program. Please apply the remaining 50% of vendor donation to the following account—choose only ONE account. St Elizabeth Parish Tuition/Fees [ [ [ [ ] Capital Campaign ] St Elizabeth Ann Seton School ] Bishop Luers ] St Elizabeth Religious Education [ ] Youth Ministries [ ] Bishop Dwenger [ ] College/University VENDOR COPY Please complete form and remit to Vendor Vendor Name________________________ Vendor Signature_________________________ Date of Transaction___________________ Total Donation $__________________________ Customer Name______________________ Vendor Phone #__________________________ Customer Address______________________________________________________________ 50% of vendor donation goes directly to the Parish Rewards Program. Please apply the remaining 50% of vendor donation to the following account—choose only ONE account. St Elizabeth Parish Tuition/Fees [ [ [ [ ] Capital Campaign ] St Elizabeth Ann Seton School ] Bishop Luers ] St Elizabeth Religious Education [ ] Youth Ministries [ ] Bishop Dwenger [ ] College/University PARISH REWARDS OFFICE COPY Please complete form and remit to Parish Rewards Office or Parish Office Vendor Name________________________ Vendor Signature_________________________ Date of Transaction___________________ Total Donation $__________________________ Customer Name______________________ Vendor Phone #__________________________ Customer Address______________________________________________________________ 50% of vendor donation goes directly to the Parish Rewards Program. Please apply the remaining 50% of vendor donation to the following account—choose only ONE account. St Elizabeth Parish Tuition/Fees [ [ [ [ ] Capital Campaign ] St Elizabeth Ann Seton School ] Bishop Luers ] St Elizabeth Religious Education [ ] Youth Ministries [ ] Bishop Dwenger [ ] College/University CUSTOMER COPY Please complete form and retain for your records. Invoice will be issued upon receipt of vendor donation.