Printed from ChabadofLaguna.com

Summer Raffle Order Form

Summer Raffle Order Form

  Chabad Laguna Beach Summer Sunshine Raffle!

                    Support Chabad's activities and enter for a chance to win a  two night stay at the magnificent                  Monarch Beach Resort, Dana Point, Ca.

COLB---Summer-Sunshine-Raffle---2017.jpg 

Tickets are $54.00 each. Five tickets for $180.00, or Twelve tickets for $360.00.

Ticket Holder Information (for prize winner notification)

Name 

Email Address

Phone Number  

Billing Information 

Name    Address  

City  State  Zip  Email

Check Visa Mastercard Amex  Discover Total Purchase Amount $

Card Number  Exp Date  Cvv Code

 

 

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