APAV 2021 Yearly Raffle Ticket Purchase Form

Help us help the Animals...

And have chances to win!
NOTE: If you would like to find the availability of a certain number before you purchase, please email Tammy Libengood at tlibengood@animalprotectors.net.

If she has it, she will hold it for you while you purchase.

PLEASE MAKE NOTE OF YOUR NUMBER IN THE INFORMATION BOX BELOW, SO TAMMY HAS RECORD OF IT...THANK YOU.
Full Name *

Prefix First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
INFO BOX: Please enter Name(s), Address(es) you want on each ticket in this box so we can put it on the tickets you purchased. We will enter the info on the ticket(s) you purchased and send them to you.
Yearly Raffle
Purchase Tickets
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Ticket Price $ 25.00

Quantity

Total $ 0.00
Should be Empty:

Help us help the Animals...