RAFFLE ORDER FORM
NAME
D
ATE
ADDRESS
CITY
STATE / PROVINCE
COUNTRY
ZIP / POSTAL CODE
TELEPHONE - HOME
TELEPHONE - WORK
TELEPHONE - CELL
E-MAIL:
I would like to order the following:
Number of
Tickets
Amount
Due
Tom Shankster - WINNERS CHOICE -
($25 each - 5/$100)
Larry Warren - STONE SHEEP -
($50 each - 5/$200)
Harry Leuenberger - BigHorn Sheep -
($50 each - 5/$200)
I would like to order the "Special"
For $500. you get
11 sheep raffle tickets of your choice! Plus 6 Hunters
choice tickets.
(fill in the numbers above and $500.00 in
the amount due)
TOTAL AMOUNT
$
Please charge my:
VISA
MASTER CARD
ACCOUNT NUMBER:
EXPIRATION DATE:
You will received a confirmation e-mail when your order is
processed
.