ORDER FORM

ST. ANNE UKRAINIAN CATHOLIC CHURCH

1545 EASTON ROAD

WARRINGTON, PA 18976

(215) 343-9809 (HALL PHONE)

Call Wednesdays between 9:00 a.m. and 3:00 p.m. for info

NAME___________________________________________

ADDRESS________________________________________

CITY_________________________PHONE______________

All orders must be accompanied by payment, and must be received by Friday, November 20th, 2009.  Items will be available for pick-up in the Activities Hall on Saturday, December 12, 2009, from 9:00 a.m. to 12:00 noon

DESCRIPTION             PRICE                AMOUNT          COST

Nut Roll                         $14.00 each        _________       ________

Poppy Seed Roll            $14.00 each       _________        ________

Lekvar Roll                    $14.00 each       _________        ________

Apricot Roll                    $14.00 each       _________        ________

Raspberry Roll               $14.00 each       _________        ________

                                       Total payment due_____________