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Project Uplift NFP Dream House Raffle Official Entry Form (Form will be available for download once the Raffle Tickets are officially for sale) Please print legibly so we may process your order without delay: Number of Tickets: ____________________ x $20 per ticket = Total Amount $ _________________ Check enclosed, payable to: Project Uplift NFP OR, please charge my (check one): VISA MasterCard Discover American Express Card Number: _____________________________________________________________________ Expiration Date: _________________________________ Security Code*: ____________________ *Last three numbers on signature line on back of credit card, or four digits on the front of American Express, above the account number. Signature: _________________________________________________________________________ Email Address: _____________________________________________________________________ Name on Credit Card: _______________________________________________________________ Billing Address: ____________________________________________________________________ City: ______________________________________________ State: _________ Zip: ____________ Phone (include area code): _________________________________________ Name to Appear on Ticket: ___________________________________________________________ Mailing Address for Ticket: ___________________________________________________________ City: ______________________________________________ State: __________ Zip: ____________ Phone (include area code): ____________________________________________________________ How did you hear about the raffle? _____________________________________________________ I was referred by: ____________________________________________________________________ Your numbered ticket receipt(s) will be mailed to you after your check or credit card is processed. This will take a minimum of four weeks. The raffle ticket(s) with matching numbers will be placed in the official drum for the drawings. All entrees received before the drawing deadline(s) will be entered into the associated drawing and all subsequent drawings whether or not stubs have been mailed. Please note that during the drawings we call names, NOT NUMBERS. ALL SALES ARE FINAL. NO REFUNDS. Only 10,000 tickets will be sold. Must be 18 years or older to enter. Void where prohibited. Raffle subject to official rules & regulations. All Rights Reserved. |
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