Mega Raffle Ticket Form

SOLD OUT “Everybody Wins” Mega Raffle!

 

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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