2026 Raffle Ticket Order Form
Drawing to be held on June 20, 2026.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
My Products
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2026 Raffle Ticket
Enter description
$50.00
$
50.00
Quantity
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Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
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2039
2040
2041
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2045
Expiration Year
Sold By:
Please fill out if you purchased them in person.
Ticket #'s given
If you did not buy your tickets in person Stacey will email you your ticket numbers.
Submit
Should be Empty: