First Name:
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Last Name:
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Paying for the following guests:
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Address:
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Telephone:
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Email Address:
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Please mark the Appropriate Boxes:
I would like to pre-purchase tickets.
No thanks
1 ($40.00 USD)
2 ($80.00 USD)
3 ($120.00 USD)
4 ($160.00 USD)
5 ($200.00 USD)
6 ($240.00 USD)
7 ($280.00 USD)
8 ($320.00 USD)
9 ($360.00 USD)
10 ($400.00 USD)
Increased to 60 people. I would like to participate again in the bigger bucks raffle, I had a ticket last year (needs to be purchased by 12/01/25 to secure ticket)
Select an Option:
No Thanks
I would like a ticket if one comes available
1 ticket is ($100 USD)
I would like gun raffle tickets: Choice of Henry Blued 45-70 Rifle , GForce S16.410 Over Under Shotgun, Taurus GX2 9mm Pistol
Select an Option:
I will buy mine at the banquet
1 Tickets for guns ($10 USD)
2 Tickets for guns ($20 USD)
3 Tickets for guns ($30 USD)
4 Tickets for guns ($40 USD)
5 Tickets for guns ($50 USD)
6 Tickets for guns ($60 USD)
7 Tickets for guns ($70 USD)
8 Tickets for guns ($80 USD)
9 Tickets for guns ($90 USD)
10 Tickets for guns ($100 USD)
Gun Choice
Henry Blued
GForce S16
Taurus GX2
I would like purse raffle tickets: Choice of Coach Purse & Wallet - brown suede & leather, or Michael Kors 3 - piece set. - black/gray large tote & 2 crossbody
Select an Option:
1 ticket ($10.00 USD)
2 tickets ($20.00 USD)
3 tickets ($30.00 USD)
4 tickets ($40.00 USD)
5 tickets ($50.00 USD)
Purse Choice
Coach
Michael Kors
I can not attend but want to make a donation:
Please select and option:
($10 (USD)
($25) (USD)
($50) (USD)
($75) (USD)
($100) (USD)
($200) (USD)
($500) (USD)
"No Thanks"
You may pay with your paypal account or credit card
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