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* Required Fields must be filled in. 

THIS ORDER IS FOR THE ECONOMY 2 PART RAFFLE TICKETS
 

*First Name      *Last Name      *Contact Phone

*E-Mail address      FAX if available

*Ship To Address

*City      *State      *Zip

*Number of tickets needed      Need by If we cannot meet this date we will notify you.


RAFFLE TICKET COLOR:
Yellow      Pink     Blue     Green     Ivory     White

PAPER TYPE:
70 Lb Book    20 Lb Bond    90 Lb Index


LEFT HAND STUB:
Standard name and address form
Admit One (includes event name)


Ticket Body:

Name of club/organization

Name of event / Function

Day & Date of event (i.e. Wednesday, Mar 15, 2008)

Time (i.e. 10:00 pm)

Name of place for event

Event Address

Event City     Event State     Event Zip

Prizes: First

      Second

         Third


RAFFLE TICKET NUMBERING:
I want numbering to start at   001
I want numbering to start at

PRICE FOR ADMISSION OR DONATION:
Choose one of the entrance selections below. Put dollar amount only in places where needed.
Adult Donation  $           Adult Admission  $       Raffle or Drawing  $

Child Donation  $           Child Admission  $

Need to send a note or other message, do it here 


PAYMENT INFORMATION: please note our billing procedure below

*Card Type  Visa     Master Card     Discover    American Express     (we do not accept debit cards)

*Credit Card #       *Card expires on:
                   no spaces 111222333444                             mm/dd/yyyy

For security purposes we need the following information to process your card

*The numbers only for the billing address of the credit card 

*The zip code for the billing address of the credit card       

Our Billing Procedure
Stock Forms:
When we receive your order for a stock form, your credit card information will be processed and your products will be shipped.

Custom Forms: Before we process your credit card information, we will set your form, show you a proof and get your final approval. Once you have given us your final approval we will then process your card information and proceed with the production and shipment of your order.

Please Note: You may cancel your order at any time, however we reserve the right to charge your credit card for any costs incurred by us up to the time of your cancellation.


By Clicking the SUBMIT ORDER button, you are agreeing to the above Billing Procedure.

Even though we show proofs and get your OK before printing...
PLEASE DOUBLE CHECK ALL INFORMATION
before submitting order to save time and possible mistakes.
we cannot be responsible for your spelling errors
or misinformation after you OK final copy!

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updated 06/24/03