You will be taken to a secure payment page after submitting this form. Please enter your credit card information on that page to complete your purchase.
Once completed your purchased raffle tickets will be filled out based on the information on this form. You will recieve an e-mail confirmation with your ticket numbers and the stubs will be mailed to you.
Questions? Call Linda @ 224-1819 or e-mail: firstname.lastname@example.org
Thank you and Good Luck!