Knights of Columbus NS State Council
Cash Bonanza // Monthly Report

Council Name: Number:
Address:
City: Postal Code:
Phone # (902) -
Contact Name:
Email :

1. Send Cheque and copy of this page to State Treasurer.
2. Keep a copy for Council record.
3. More information contact State Ticket Chairman Ernest Chiasson
Tel: 864-4941 or email echiass@eastlink.ca

 Nil returns must be sent on reporting dates.

Date: Cheque # Amount: # of book sold:
Council are to order more books here as needed: #

Have your best year yet....

Forwarding Instructions:
  1. Print this page first
  2. Send copy of this form to State Treasure: Arthur Rice, 680 Parkland Dr. Apt 203, Halifax, NS, B3S 1M5
  3. Click the "Submit" button to send this form to the Ticket Chairman.