JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Kubota RTV Raffle
Enter for a chance to win a Kubota Sidekick RTV-XG850! Tickets are $100 each. Proceeds go to Shelby Kinsey and family to assist with current and future medical expenses. Thank you for your help!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
How many tickets would you like to purchase?
*
Choose
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Please use this link or QR code to purchase your tickets. (Tickets are $100 each)
https://venmo.com/u/shelbyk-medical
Venmo: @shelbyk-medical
Please answer this question with your Venmo Name so we can link the payment to your form entry.
Thank you for your support!
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kaige Kubota.
Report Abuse
Forms
