PLEDGE FOR RAFFLE TICKETS!

Tickets are $20 Each or Six for $100! One ticket enters you in two drawings, winner need not be present to win! This is a pledge only, please pay your service league member directly by cash, check or other arrangement!

Purchasers Name

If you want to designate other peoples names, please indicate in notes before submitting!

First Name

Last Name

Phone

(###)

###

####

Email

Service League Member you have pledged to purchase tickets from?

Who is the Service League member you have pledged to purchase tickets from?

How Many Raffle Tickets are you Pledging to Purchase?

Please check all that apply!

One Ticket = $20

Two Tickets = $40

Three Tickets = $60

Four Tickets = $80

Six Tickets = $100

Twelve Tickets = $200

Any other information you'd like us to know?

Any special instructions or other names for the tickets?