Raffle tickets

Name *

First Name Last Name

Email *

example@example.com

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number *

How would you like to purchase your tickets?

E-transfer Credit Card (online through PayPal)

Purchase tickets online - no PayPal account needed

Single ticket One single raffle ticket

$ 10.00 CAD Quantity
Item subtotal: $ 0.00 CAD

3 for 20 3 raffle tickets for $20

$ 20.00 CAD Quantity
Item subtotal: $ 0.00 CAD

Total

$ 0.00 CAD

After submitting this form, you will be sent an email that contains the email address required for the e-transfer. Please make payment to that email address within one business day

Please choose the quantity of tickets you would like to purchase.

	Quantity
Single ticket $10
3 tickets for $20

Single ticket calculation

3 for 20 calculation

Amount owed

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Alzheimer Niagara Raffle Tickets