# of Raffle Ticket(s) Requested:*$25 per Ticket or 5 tickets for $100 1 - Raffle Ticket 2 - Raffle Tickets 3 - Raffle Tickets 5 - Raffle Tickets 6 - Raffle Tickets 7 - Raffle Tickets 8 - Raffle Tickets 10 - Raffle Tickets Total Due for Raffle Tickets Your Name* First Last Your Email* Please provide an email to receive confirmation.Cell Phone #*Please provide a cell phone # where you can be reached. Use parent's phone number if stub has a minor's name.NameThis field is for validation purposes and should be left unchanged.
