Slatedale Fire Company Cow Patty Bingo Order Form
Please fill in the required fields and submit this form to complete your order. Upon receipt of a completed form and payment you will receive an email with your 2’x2’ square number - you do not need to be present to win. RULES: Numbers will be assigned at random, any unsold spaces will be assigned to Slatedale Fire Company. The cow will be released at 6:30 PM. The square with the biggest deposit will win 50% of the event’s take in. If the cow deposits on a line, the winner is decided by the judge’s. In the event that portions are too close to determine a winner - the prize money will be divided equally between the square holders. All judges decisions are final !! No one except the cow or the cow handler will be allowed on the grid. If by 8:30 PM, the cow has not dropped a pie. The winner will be determined by whatever square the right front leg of the cow is in at that time.
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First Name
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Cow Patty Bingo Ticket
1 2’x2’ square
$
10.00
Quantity
1
2
3
4
5
6
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8
9
10
11
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20
Item subtotal:
$
0.00
Payment:
Please make checks payable ONLY to: Citizen's Fire Co. #1 Slatedale Send payment to: Slatedale Fire Company Attn: Cow Patty Bingo 3922 Main Street Slatedale, PA 18079
Submit
Should be Empty: