Mega Raffle Ticket Form

Yes, I want to purchase an “Everybody Wins” Mega Raffle ticket!

Only 4,000 tickets sold! Ticket price is $100. A total of 74 prizes totaling $167,750 will be awarded. While tickets are available at Blessed Sacrament, St. Dominic, St. Francis, St. Peter and Quincy Notre Dame, this site is only able to securely accept a payment by credit card. If you have any questions please email support@quincymegaraffle.org or call 217-224-2598.

Please accept my payment of $105 ($100 for ticket and $5 for transaction fee).

Card Type*
Credit Card Number*
Exp Date*
/
CSC* (3 digit security code)
First Name*
Last Name*
Address*
City*
State*
Zip*
Phone A* (please use numbers only)
Phone B
Email*
I wish to have $10 of my ticket price
Donated to the ONE schoolDivided equally among the schools checked
Schools
Blessed SacramentSt. DominicSt. FrancisSt. PeterQND
Ticket Co-Purchaser(s)
Ticket Seller’s Name (Adult – 18 or older)

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