St. Stephen Martyr Reverse Raffle Wheel of Chance Order Form Drawings to be held February 22, 2014 License # 0192 2931 Pindell Avenue, Louisville, KY 40217 Be a part of the 2014 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 Kitchen Aid $3 _____x $3 =____ 2 Barrel of Booze $5 ____ x $5 = ____ Ice Cream Maker 3 Item # 15 Item Description $200 Gas Card 16 $500 SSM Tuition Voucher A minimum of 50 chances must be sold. Marteen Room Rental ____ x $5 = ____ 4-hour room rental $10 ____ x $10 = ___ $5 ____ x $5 = ____ 6 $200 Frank’s Meat Package $5 ____x $5 = ____ 5 Dinner for a Year Twelve certificates valued at $20 or more 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 $5 ____ x $5=_____ SSM Faculty and Staff filled this deep freezer with an assortment of food. $6 ____ x $6 = ____ 20 $150 SSM Lunch Voucher $5 ____ x $5 = ____ $10 ____x $10 = ___ $3 ___ x $3 = ____ $5 ____x $5 = ___ 18 $200 Gas Card 19 21 Treasure Chest $3 $10 the Treasure Chest Station. Check your key to see if you’re the winner! Must be present to win! ___ x $10 = ____ A Perfect Fit Uniform! 11 $200 Frank’s Meat Package $5 ____ x $5 = ____ 13 Fast Food for a Year Holiday World Tickets 22 $15 ____ x $15 = ____ $5 ____ x $5= _____ 12 Fast Food Gift Certificates! 14 Take a chance on a beautiful piece of jewelry. Claim a key the night of event at ____ x $3 = ____ ____ x $8 = ____ Apple iPad 16 FB w/Retina Display Freezer Filled with Food! Can be split between siblings. Faculty & staff are eligible. A minimum of 50 chances must be sold. ___ x $10 = ____ $8 12 $10 ____ x $10= ___ ____ x $3 = ____ Disney Get-Away Four 1-day park hoppers, a 3 night stay at Red Roof Inn & $50 in Disney Bucks ____ x $5 = ____ $3 Golfer’s Delight 7 $5 Includes assorted coffees “Mine & Yours” A pair of Nook 7”, 8 GB each Total Chances to Purchase Keurig Signature Brewer 17 Coffeemaker 4 Cost $5 ____ x $5= _____ 23 One t-shirt, one pair of shorts, one pair of sweatpants, and one sweatshirt from Metro Promotions (value worth $50) combined with two $20 gift cards from Shaheen’s to complete your perfect fit uniform. SSM Bundle Includes certificates for: $100 Fish Fry, 2014-15 athletic admission for family of 5, $25 for SSM picnic chicken dinner, and $50 toward athletic photos by Marvin Tomes. 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____________________