# of Tickets ($325 each): |
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# of Raffle Tickets ($60 each): | |
If you are attending the Gala, your raffle ticket stub can be picked up at registration. If you are not able to attend, we will send your ticket stub by mail. | |
Billing First Name: | |
Billing Last Name: | |
Street: | |
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Phone: | |
E-Mail: |
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Ticket Total: | $0.00 |
Raffle Total: | $0.00 |
Date: | 3/5/2021 |
Credit Card #: |
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Exp. Date: | |
Security Code: | |
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