Copy & Paste the text below into your word processor, print and complete, mail in Form.

Fennimore Lions Club Birthday & Anniversary Calendars

Email Information to garycham@mchsi.com or fill out form and mail to

Fennimore Lions Club  P.O. Box 192 Fennimore, WI.  53809

Name:______________________________________________Phone:______________

Address:________________________________________________________________

 Same as last year________Number of Calendars_______Cost is $5.00 Each

Birthday Name:_­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­________________________________Date:_____________________

Birthday Name:_­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­________________________________Date:_____________________

Birthday Name:_­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­________________________________Date:_____________________

Birthday Name:_­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­________________________________Date:_____________________

Birthday Name:_­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­________________________________Date:_____________________

Birthday Name:_­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­________________________________Date:_____________________

Birthday Name:_­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­________________________________Date:_____________________

      Anniversary

Name:_________________________________________Date:_____________________