Individual Gifts for Sr. Mary Agnes may be brought to the reception

 SISTER MARY AGNES SULLIVAN RETIREMENT CELEBRATION
Sunday, May 17, 2015
5:00 -8:00 pm
Our Lady of the Lake
Auditorium
Cost $40 per person
Light Supper, Wine & Beer
(A dults only 21+ years please)
Visit the Our Lady of the Lake website for information www.ollverona.org For reservations mail your check payable to Our Lady of the Lake by May 1st with this form to:
OLL Church, 32 Lakeside Avenue, Verona NJ 07044
(Please indicate in the memo section of check “SMA Retirement”)
First & Last Name______________________________________ Phone____________________
Email __________________________________________________________________________
Address ________________________________________________________________________
❐ Cocktail Party $40 pp X _________(# of guests) =
TOTAL AMOUNT ENCLOSED
$____________________
$_______________________
Kindly List Each Guest Name Please: (no assigned seating)
1. _____________________________________________________
2. _____________________________________________________
3. _____________________________________________________
4. _____________________________________________________
5. _____________________________________________________
6. _____________________________________________________
Individual Gifts for Sr. Mary Agnes may be brought to the reception