LIND LIONS CLUB
2011 COMMUNITY CALENDAR
Should you wish to have a calendar, just print this application,
fill out, and mail with your remittance to:
Lind Lions Club, Dwayne Fowles, Chairman, PO Box 37, Lind, WA 99341.

PLEASE SEND IT IN NOW……DON’T FORGET!

DEADLINE - AUGUST 15, 2010
Please note a slight increase in both fees...

_______ Calendars @ $6.00 each = __________    Christmas Board @6.00 __________

Total remittance = $ ____________

Clubs and organizations wishing to list meeting dates should send dates/events to be listed to
Dwayne Fowles, PO Box 37, Lind, WA 99341. Dwayne will send you a bill.

 To receive a calendar and be entitled to have your wedding anniversary and birthdays of
all members of your immediate family noted on the calendar please complete this form
and remit with payment by the deadline.
 
IF you had a calendar last year and you have no additions, corrections or deletions, you may just write "same as last year"
below, fill in purchaser's name & address and submit with your payment. Thank you.


 

DATE (mo/day)
BIRTHDAY

NAME (first and last name)
(Please print plainly)
 
_____________________ _____________________________________________________________________
_____________________ _____________________________________________________________________
_____________________ _____________________________________________________________________
_____________________ _____________________________________________________________________
_____________________ _____________________________________________________________________
_____________________ _____________________________________________________________________
_____________________ _____________________________________________________________________

Wedding
Anniversary

  Date: (mo/day)     Names listed as: (Example: Charlie & Beth Lastname)

 _______________________________________________________________________________
REQUIRED
PURCHASER'S NAME:
 _____________________________________________________________________
REQUIRED  
MAILING ADDRESS:  _____________________________________________________________________
REQUIRED
PHONE NUMBER:		  ____________________________________

Note: Close to January 1, 2011, if your calendar has not been delivered,
 please check at Jim's Market.
Calendars that are not delivered will be left at Jim's. Thank you!