Rolex Raffle Ticket Entry Form
Fill out this form to enter the raffle for a Rolex Submariner Date watch (appraised value of $16,000) from Virtue Jewelers! Each ticket costs $50 and 100% of proceeds will support Lucy's Love Bus and our mission to provide comfort and moments of joy to childhood cancer families in New England! Please email stephanie@lucyslovebus.org with any questions. ONLINE TICKETS WILL BE SOLD UNTIL 5PM ON THURSDAY, NOVEMBER 20TH, 2025 - after which time this form will not be active, but tickets will be available for purchase in person at the Rolex Raffle Soirée until 7:45pm, with the final drawing at 8pm.
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Total Cost
Cost
Name
*
First Name
Last Name
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Total due:
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Credit Card Details
First Name
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Billing Address
*
Street Address
Street Address Line 2
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Postal / Zip Code
Void where prohibited. Open only to legal United States residents, 18 or older, and must be purchased while in the United States.
*
Signature
*
Required for raffle ticket sales. This will be included in your emailed raffle ticket.
Enter the Raffle!
Enter the Raffle!
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