The Five PearlZ Foundation Scholarship Tea Raffle Order Form
Hosted in conjunction with Omega Pi Zeta Chapter of Zeta Phi Beta Sorority, Incorporated. Complete this form to purchase raffle tickets only.
Name
*
First Name
Last Name
Shipping Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Purchased ticket from (please select one from the menu)
General Purchase
Rhonda Butler
Mira Cole
Debra Evans
Joanna Goodson
Krissie Harris
Kyisha Hunt
Janese Meyer
Jade Moore
Keila Pope
Alysia Terrell
CM Winters
Please select the person that you are buying your ticket from or supporting.
Phone Number
*
Please provide a contact number for order concerns
Please verify that you are human
*
Products
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1 Raffle Ticket
Raffle Tickets are 1 for $5, 3 for $10, and 5 for $20.
$
5.00
Single Ticket Purchase
Quantity
Price
1 ticket
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$
5.00
Item subtotal:
$
0.00
3 Pack of Raffle Tickets
3 pack of raffle tickets - $10 per pack
$
Free
Quantity
0
1
2
3
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5
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7
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9
10
Item subtotal:
$
0.00
5 Pack of Raffle Tickets
5 pack of raffle tickets - $20 per pack
$
Free
Quantity
0
1
2
3
4
5
6
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9
10
Item subtotal:
$
0.00
Purchase
Should be Empty: