CHURCHILL CHARGER STADIUM SEATS ORDER FORM
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Stadium seats are $45.00 each (may be tax deductible fair market value is $38.00). 

Please complete the information below and mail the form along with your check payable to "C.A.P." to:

Churchill Athletic Department
Attn: Churchill Athletic Patrons
8900 Newburgh Rd.
Livonia, MI 48150

If any questions, please contact LuAnn Englehart at 734.716.6146 or email at englehartluann@yahoo.com



Name:  _______________________________________________________

Address: _______________________________________________________

Phone: _______________________________________________________

Cell:  _______________________________________________________

Email: _______________________________________________________

# of Seats: _______________________________________________________


GO CHARGERS!