$20

2021 LSWR CALENDAR ORDER FORM

Reserve your calendar now as quantities are limited.

Calendars are $20 each and may be picked up at the

LSWR rehab centre at 100 Rayner Avenue in Sutherland.
Add $5 per calendar if you wish them mailed to you.

Phone 306-281-0554 before pickup or to ask questions.

Send e-transfer to LSWR@sasktel.net and use “calendar”
as the answer to the security question.

Download this order form onto your device and open it with Adobe Reader. You should then
be able to complete the form and click SUBMIT to send it to LSWR@sasktel.net
How many copies? _________

Amount sent by e-transfer: $ _________

NAME: _____________________________________________________

STREET ADDRESS: ____________________________________________

CITY/TOWN: ________________________________________________
SUBMIT
POSTAL CODE: _________________ PHONE: ___________________