CLASSIC CAR DRAW     CLASSIC CAR DRAW     CLASSIC CAR DRAW     CLASSIC CAR DRAW     CLASSIC CAR DRAW     CLASSIC CAR DRAW     CLASSIC CAR DRAW
Rotary Club
of
Fenelon Falls
Classic Car Draw
Name _____________________________________________________

Address ____________________________________________________

City ________________________________________________________

Prov/State __________________  Postal Code/ZIP ___________________

Telephone (         ) _________________

Email address _________________________________________________

Number of tickets requested _______________  Amount to be charged $______

Payment type  Cheque ______   Money Order _______ 

CREDIT CARD INFORMATION

VISA _______       MASTERCARD  ________     AMEX  ________

CARD NUMBER ______________________________________________

EXPIRY DATE ________________  V CODE ________________________
                           (MONTH / YEAR)                    (BACK OF CARD)

                     Check for email  ______    Check for Canada Post  _______   

Tickets are $5.00 each, 5 tickets for $20.00, or 15 tickets for $50.00

To order your tickets, please print this page, complete it and send it along with your payment
by cheque, money order or credit card to

Classic Car Draw
Rotary Club of Fenelon Falls
P.O. Box 862
Fenelon Falls, Ontario
K0M 1N0