November 2, 2026 Reverse Raffle Tickets Order Form

St. Stephen Martyr Reverse Raffle & Wheel of Chance Order Form

Saturday, November 7, 2026 Tax #61-0492373 Lic #0192 THIS IS AN ADULT ONLY EVENT - MUST BE AT LEAST 18 TO ENTER.
WHEEL OF CHANCES ITEMS

Only 100 tickets will be sold for each of the prizes listed. Prices for each item are listed along side the item description. In the event that more than 100 replies are received for a package we will call you to offer another selection. We will assign your number when we receive your request and your ticket numbers will be sent to you.

IF YOU DO NOT SEE A WHEEL OF CHANCE ITEM LISTED THEN THAT ITEM IS SOLD OUT. Thanks!
REVERSE RAFFLE TICKET ($65.00)

All tickets are sold on a first come, first serve basis. There will only be 500 Reverse Raffle tickets sold to this event. Each Raffle ticket includes admission, dinner for 2, and the chance to win a part of the $11,000 that we are giving away. You need not be present to win, but must be present to split if one of the last 3 tickets left.

Only 500 tickets will be sold. Every ticket will be drawn.
The first ticket and every 25th ticket drawn will win $100.
The 498th ticket drawn will win $500,
the 499th ticket drawn will win $1500,
and the 500th ticket drawn will win $7000.
The winning tickets are based on the last 3 tickets drawn.
RETURN MY TICKET INFORMATION THROUGH
Student Name

First NameLast NameGrade
Your Email
example@example.com
Mailing Name

First NameLast Name

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Raffle Ticket sold by: (Enter SSM School Student/Family Name here, if any)

First NameLast Name

PLEASE COMPLETE FOR EACH RAFFLE TICKET YOU ARE ORDERING

ALL WHEEL OF CHANCE TICKET ORDERS WILL BE IN ISSUED TO THE NAME DESIGNATED BELOW

Rows	Name(s) on ticket(s)	Address , City, State, Zip	Phone Number
WHEEL OF CHANCE TICKET HOLDER

PLEASE COMPLETE

Rows	Name(s) on ticket(s)	Address , City, State, Zip	Phone Number
BOURBON BASKET TICKET HOLDER - (Must be at least 21 years old to purchase Bourbon Basket Raffle Ticket)

THANK YOU FOR SUPPORTING THE
STUDENTS AND STAFF OF ST. STEPHEN MARTYR!

Please allow 7-10 days to receive your ticket information
Should be Empty:

St. Stephen Martyr Reverse Raffle & Wheel of Chance Order Form