Parish Rewards Transaction Form

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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.
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