Raffle Order Form

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Raffle Tickets

Purchasing three or more tickets includes you in the Multi-Ticket Bonus Drawing.

50/50 Add-On Tickets

Enter "0" for none.
Current jackpot is $85,865. Half the pot goes to the winner of the 50/50 drawing and half goes to the charity.

Order Total: $

Billing Information

Ticket Information

Only one name per ticket.
This information will be printed directly on the ticket.

Referral

How did you find out about the raffle?
Have you purchased tickets for this raffle in the past?

Payment Information

We accept Visa, MasterCard and Discover
We also accept debit cards with Visa or MasterCard logos
We do not currently accept American Express
Last 3 digits on back of card
Using previously-entered card.  
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