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 "CAP" to:

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

If any questions, please contact Mike or Carol Kelly at 734.464.8065.



Name:  _________________________________________________________

Address: ________________________________________________________

Phone: _________________________________________________________

Cell:  ___________________________________________________________

Email: __________________________________________________________

# of Seats: _______________________________________________________

GO CHARGERS!