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Summerfest Raffle Ticket Purchase Form

Winner will be drawn May 24th 9:00pm at Summerfest. Winner can choose between one of the following: Las Vegas Getaway, $2,000 cash prize, 1 Year Free tuition MPHM School. Winner need not be present to win.

Please choose quantity. *	Quantity
$5 - Single Ticket
$20 - Quick Five Tickets at Special Price

Contact Information

Name

First Name

Last Name

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Address

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Please credit the following student for this ticket purchase

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