Brahma Boosters Quartermania

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Purchase before August 22 to receive 10 FREE Raffle Tickets per Entry Ticket!

E-mail Address

Name

# of Entry Tickets (1 Entry includes 1 Paddle)

1 Ticket - $10

2 Tickets - $20

3 Tickets - $30

4 Tickets - $40

5 Tickets - $50

6 Tickets - $60

7 Tickets - $70

8 Tickets - $80

9 Tickets - $90

10 Tickets - $100

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# of extra Paddles (For more chances to win)

1 Paddle - $5

2 Paddles - $10

3 Paddle - $15

4 Paddles - $20

5 Paddles - $25

6 Paddles - $30

7 Paddles - $35

8 Paddles - $40

9 Paddles - $45

10 Paddles - $50

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# of Raffle Tickets (Check all that apply)

1 Raffle Ticket - $1

2 Raffle Tickets - $2

3 Raflle Tickets - $3

4 Raffle Tickets - $4

5 Raffle TIckets - $5

6 Raffle Tikets - $6

7 Raffle Tickets - $7

8 Raffle Tickets - $8

9 Raffle TIckets - $9

12 Raffle Tickets - $10

25 Raffle Tickets - $20

50 Raffle TIckets - $40

Total Amount Paid (Entry TIcket, Additional Paddles & Raffle TIcets)

Form of Payment - For Paypal please return to this form to put the confirmation in the next section below and press submit on THIS form or your answers will not be recorded *

Paypal (Scan QR Code) or go to paypal.me/BrahmaBoosters

Check (Make check out to "Brahma Boosters" and turn into front office)

Paypal Receipt # or Check #

Submit

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