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RAFFLE DONATION FORM
Quilt is 57" X 70"
Pieced by Paula Nelson and quilted by Marsha Pennington
Donated to JAVC for fundraiser raffle May 17, 2023
Raffle tickets are $1 each or 6 for $5
Tickets purchased online will be mailed by Nani from JAVC
Tickets can also be paid with cash at the JAVC office.
Our office is located at 1400 E. Andy Devine Room 207 in Kingman.
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
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Raffle Amount
*
$1
-
1 tickets
$5
-
6 tickets
$10
-
12 tickets
$20
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24 tickets
$50
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60 tickets
Organization/Employer
Enter if this is a gift from an organization and you are the contact.
Payment Type
*
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select one
Paypal
Stripe (Credit Card)
Donation Note
This is a raffle donation.
