St. Anthony Shrine
Christmas Calendar Raffle

To be eligible for drawings, complete this card and return it with your $15 donation to:

St. Anthony Shrine
100 Arch Street
Boston, MA 02110

Include your birthdate, and if you win on that day, you get an additional $50!

Name: _______________________________________________________

Phone: _______________________________________________________

Address: _____________________________________________________

          ________________________________________________________

Email: _______________________________________________________

Birth Date: ___________________________________________________

For Credit Card purposes only:

Visa    MasterCard    Amex    Discover  

Expiration Date: ________________________________

Card Number: ________________________________________________