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Centerville Pancake Breakfast Order Form
Thank you for supporting Centerville Rotary's Pancake Breakfast fundraiser. The proceeds from the event will help fund club sponsored projects such as college scholarships, water pumps for clean water in Africa, etc. Please complete the order form below, and you will receive an email requesting payment via Google Wallet. Once payment is received, you will receive the tickets in the mail. Thank you!
First Name *
Your answer
Last Name *
Your answer
Number of tickets - $6 each *
Email Address - This is where the payment request will be sent via Google Wallet. *
Your answer
Mailing Address (street, city & zip) - Tickets will be mailed to this address *
Your answer
Telephone Number *
Your answer
Would you like information on how to become a member of the Centerville Rotary Club? *
Would you be interested in becoming a sponsor? *
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