Out of the Blue Raffle Tickets
Win up to $10,000! Purchase your ticket before April 17th at noon and be entered in our early bird (tax relief) drawing to be held at 5pm on April 17th.  The rest of the prizes will be drawn at the event including a Grand Prize drawing of $5,000, first place prize of $3,000 and second place prize of $1,000 on May 5. Each ticket is $100.
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Email *
Name: *
Address *
City *
State *
Zip Code *
Primary Phone Number *
Number of Tickets *
Top Lucky Number if still available? (not required)
2nd Choice Lucky Number if still available? (not required)
3rd Choice Lucky Number if still available? (not required)
Card Type *
Name on Card
Card Number
Expiration Date
Security Code
Billing Zip Code
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