luminaries

Luminary Order Form

1 Kit includes: 12 white bags & candles and a bag of sand

Name___________________________________________

Address_________________________________________

Phone number____________________________________

Email address____________________________________

Number of kits ordered: ________ x $7.25 = $__________

Donation for extra kits to fill in empty spaces $__________

Total amount enclosed $ __________

Would you setup/light/cleanup extra kits? (Circle) YES NO

Make checks payable to: LRHS Bands Club

Mail or deliver this form and check to:

LRHS Bands Club c/o John Hutchison

8524 Erinsbrook Drive

Raleigh, NC 27617

(919) 539-7558

-OR-

Buy On-Line: http://bit.ly/shoa-luminaries

Please place your order by: Dec 9th

Kit delivery to your house: by Dec 14th