Elmore SPCA Mall Raffle
Name
First Name
Last Name
E-mail
example@example.com
Phone Number
-
Area Code
Phone Number
Ticket Prices: one for $5 or six for $20
Number of raffle tickets purchasing
LIST BASKET RAFFLE NUMBERS. If no number(s) are given your ticket(s) will be randomly placed in baskets that do not contain alcohol or lottery tickets. You must be 21 to purchase a raffle ticket on any basket containing alcohol, and 18 for lottery tickets.
Amount Due (Cost one for $5; six for $20)
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