One moment please...
RAFFLE DONATION FORM
Another great item coming soon!
Name
*
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
*
Email
*
BE SURE TO CHECK YOUR EMAIL FOR YOUR RAFFLE NUMBER(S).
Verify Email
*
Raffle Amount
*
$1
-
1 tickets
$5
-
6 tickets
$10
-
12 tickets
$20
-
24 tickets
$50
-
60 tickets
Organization/Employer
Enter if this is a gift from an organization and you are the contact.
Payment Type
*
Please select from the dropdown menu.
select one
Credit Card
PayPal
Donation Note
This is a raffle donation.
