St. Stephen Martyr Reverse Raffle Wheel of Chance Order Form
Drawings to be held February 7, 2015
License # 0192
2931 Pindell Avenue, Louisville, KY 40217
Be a part of the 2015 SSM Reverse Raffle with our Wheel of Chance and help SSM raise money for projects to further improve our school.
You need not be present to win. Only 100 tickets will be sold for each of the fabulous prizes. Prices for each item are listed alongside the
item description. The postmark date will determine the first 100 replies for each item. In the event that more than 100 replies are received for
a package we will call you to offer another selection. We will assign your number when we receive your request and your ticket numbers will
be sent to you. To purchase your Wheel of Chance ticket(s), please complete and return this entire form with a check made payable
to St. Stephen Martyr.
Item
#
Item Description
Cost
Total Chances to
Purchase
1 Dinner for a Year at Frank’s
$5
_____x $5 =____
2 Barrel of Booze
$5
____ x $5 = ____
($200 GC)
3
4
Spa Package
Have a “spa day” at Polished Salon &
Spa! (Worth approximately $200)
Keurig Signature Brewer
Coffeemaker
17
$5
____ x $5 = ____
6 $200 Frank’s Meat Package $5
____x $5 = ____
Dinner for a Year
Twelve certificates valued at $20 or more
Golfer’s Delight
7
Foursomes at area courses, including
Lake Forest and Woodhaven, along with
great golf accessories!
8
Wine Lover’s Package
Includes wine & accessories to please
any wine lover!
9 32” Flat Screen TV
10
$10
___ x $10 = ____
$3
$5
____ x $5=_____
$8
____ x $8 = ____
20 $200 Gas Card
$5
____ x $5 = ____
21 Barrel of Booze
$5
____ x $5 = ____
$10
____x $10 = ___
$3
___ x $3 = ____
$5
___ x $5 = ____
$8
____x $8 = ___
18 $200 Gas Card
19
Freezer
Includes a Kroger GC to help fill it up!
Take a chance on a beautiful piece of
jewelry. Claim a key the night of event at
the Treasure Chest Station. Check your key
to see if you’re the winner! Must be present
to win!
shout, with this musical treasure.
24 $200 Gas Card
$15 ____ x $15 = ____
$5 ____ x $5= _____
12 Fast Food Gift Certificates!
Holiday World Tickets
$10 ____ x $10= ___
JUKEBOX!
____ x $5 = ____
14
____ x $5 = ____
$5
Includes a 32” Flat Screen TV &
a Blu-Ray player
23 Dance the night away, twist &
11 $200 Frank’s Meat Package $5
13 Fast Food for a Year
$5
____ x $8 = ____
___ x $5 = ____
____ x $8 = ____
12
Total Chances to
Purchase
$8
____ x $3 = ____
$8
Apple iPad
Cost
Media Room
22 Treasure Chest
Disney Get-Away
Four 1-day park hoppers, a 3 night stay
at Red Roof Inn & $50 in Disney Bucks
Barrel of Beer
16 $500 SSM Tuition Voucher
$10 ____ x $10 = ____
____ x $3 = ___
5
15
Item Description
A minimum of 50 chances must be sold.
$3
Includes assorted coffees
Item
#
$5 ____ x $5= _____
25
SSM Lunch/Uniform Bundle.
Lunch Voucher: Can be split between siblings; faculty
& staff are eligible (must sell a minimum of 50
chances)..
Uniform Voucher for one of each: shorts, t-shirt,
sweats, sweatshirt.
Four Admission Tickets
Total # of Tickets Purchased __________
TOTAL:
$_________
Name(s) on tickets: _________________________________________________ Phone #:__________________Cell __________________
Address: _______________________________________________ City: _____________________ State: ______ Zip Code: ___________
Please mail this form along with check to: St. Stephen Martyr Reverse Raffle, 2931 Pindell Ave., Louisville, KY 40217.
If you have any questions, please contact MaryEllen Sant or Wendy Gerhard at (502)635-7141.
PLEASE RETURN MY CHANCES TO ME BY:
Mail
I’ll pick them up in the Church Office
Email my tickets #’s to me (EMAIL) ________________________________
Send home with student: Name ___________________________________________ Homeroom Teacher____________________