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RAFFLE DONATION FORM
Name
*
First Name
Last Name
Address
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Address Line 1
Address Line 2
City
City
State
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ZIP/Postal Code
Country
Phone
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Email
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Raffle Amount
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$1
-
EACH
$5
-
6 tickets
$
Organization/Employer
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Payment Type
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Donation Note
This is a raffle donation.
