Mega Raffle Ticket Form

Only 4,000 tickets will be sold. Tickets are $100 each. (Tickets purchased by credit card will incur a $5 processing fee.) A total of 42 prizes totaling $169,500 will be awarded. While tickets are available at Blessed Sacrament, St. Dominic, St. Francis, St. Peter and QND, this site is only able to securely accept a payment by credit card. One (1) ticket per submission. If you have any questions, please email or 217-224-2598.

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

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