Raffle Entry Form

Win $50.00 cash for yourself and a $50.00 purchase credit for
your church.

We are offering $50.00 cash for you and a credit
of $50.00 for your church in this drawing.
We are planning to increase the prize amount and number
of winners based on the number of entries.
Make sure to enter your name and e-mail address so that
we can contact you if you win.

Leave quantity at one and then click on the
big yellow bar at the bottom of the screen.

Your e-mail address will not be given to other businesses.
We may e-mail you with other contests or seasonal church items.

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Church Name

Church Account Number, if known

City

State - two letter state abbreviation

E-Mail Address

Purchaser Name

Make sure to enter your name and e-mail address.
Then, press the yellow button below, and wait
until you get to the verification screen.

Product #	Description	Price per Box	Quantity
Product #	Description	Price Per Case	Quantity

After clicking the submit button you will have a chance to
check your name and e-mail address for accuracy.
We will confirm your drawing entry within 24 hours.
If you do not get a confirmation, send us an e-mail.