Traveling Library Raffle Form

We have a set of 6 wonderful prizes available for a basket raffle! Tickets cost $2 each and you can get 6 for $10. 
We also have an two amazing Experience Raffles worth more than $1000. The Broadway Experience Tickets are $25 each and the Bloomsburg Fair Grandstand Concert Experience Tickets are $10 each. Only 150 tickets will be sold for each package. 

Details about both raffles are posted at www.travelinglibrary.org.

Please use this form to let us know what tickets you would like to purchase to support the Traveling Library.

PA law does not allow online payments for raffles, but you can make a personal transaction with a trusted community member to pay them as an individual by Venmo or PayPal and they will put the cash in for you. You can also put a check in the mail or visit the library. Details are included on this form.

Call 570-387-8782 or email giving@cctlibrary.org if you have any questions -- thank you for supporting the library!

Your email is required to use this form. A copy of your responses will be sent to you. We will use this email to confirm we have placed your tickets for you, and hopefully to notify you when you win!
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Email *
Name *
I will pay for the raffle tickets I select on this form in the following way: *
Please use this phone number as a backup if you can't reach me by email:  *
Here is my address for your records (required for experience raffle).
BROADWAY EXPERIENCE RAFFLE:
I will purchase the following number of tickets:
Clear selection
CONCERT EXPERIENCE RAFFLE:
I will purchase the following number of tickets:
Clear selection
BASKET RAFFLE:
I will purchase the following number of tickets:
Clear selection
BASKET RAFFLE: 
Please apply the following number of tickets to:

Prize #1: Lottery Tree

BASKET RAFFLE: 
Please apply the following number of tickets to:

Prize #2: NEW Calvin Klein Purse
BASKET RAFFLE: 
Please apply the following number of tickets to:

Prize #3: Game Night Basket
BASKET RAFFLE: 
Please apply the following number of tickets to:

Prize #4: Verses in the Vineyard Basket
BASKET RAFFLE: 
Please apply the following number of tickets to:

Prize #5:  Adventure Begins Summer Learning Basket featuring Magic Tree House
BASKET RAFFLE: 
Please apply the following number of tickets to:

Prize #6: $100 Barnes and Noble Gift Card
A copy of your responses will be emailed to the address you provided.
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