Fall Luncheon

October 7, 2023

St. Patrick Church @ Gurnell Hall
3109 Sacramento Street
Placerville, CA

Donation items can be dropped of at the Mother Teresa Home or St. Patrick Parish office no later then Septermber 29th.

If you have any questions please contact Colette Polaski (503) 677-1285 / (530) 957-4021 Email jcpolaski@sbcglobal.net

**Please return the completed Luncheon Registration Form to Colette Polaski, 2050 Ribier Way, Cameron Park, CA 95682**

 $ 200

Total amount:   $0.00  (U.S. Currency)

Credit Card or Check/Debit Card *

Visa Mastercard Discover American Express

Routing Number

Your Information
First Name *
Last Name *
Billing Address *
City *
State *
Zip *
U.S. Phone
() -
Email *
All payments provided to Mother Teresa Maternity Home, Inc. comply with U.S. laws and regulations.
EFT corporation
© Copyright 2023
Mother Teresa Maternity Home, Inc.
All Rights Reserved