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RAFFLE DONATION FORM
Name
*
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Phone
*
Email
*
BE SURE TO CHECK YOUR EMAIL FOR YOUR RAFFLE NUMBER(S). THE DRAWING WILL BE HELD APRIL 30, 2021. THE WINNING NUMBERS WILL BE PUBLISHED VIA EMAIL. GOOD LUCK!!!!
Raffle Amount
*
$5
-
6 tickets
$10
-
12 tickets
$20
-
25 tickets
$
Organization/Employer
Enter if this is a gift from an organization and you are the contact.
SELECT RAFFLE
*
Select the raffle from the dropdown menu.
select one
2 Tickets Grand Canyon Railroad end 4/30/2021
Payment Type
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Please select from the dropdown menu.
select one
Paypal
Stripe (Credit Card)
Donation Note
Enter any specific event for this donation. Example: Yard Sale.
