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2022 YVL Winter Reading Challenge Raffle Entry Form
Congratulations Winter Reading Warrior! Please fill out the entry form for a chance to win a prize!
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English (US)
Spanish (Latin America)
1
Name
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First Name
Last Name
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2
Email
example@example.com
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3
Phone Number
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Area Code
Phone Number
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4
Community Library
*
This field is required.
Which community library do you use most frequently?
Buena
Granger
Harrah
Mabton
Moxee
Naches
Nile Express
Selah
Southeast Yakima
Sunnyside
Terrace Heights
Tieton
Toppenish
Wapato
West Valley
White Swan
Yakima Central (Downtown)
Zillah
Outreach Services
Buena
Granger
Harrah
Mabton
Moxee
Naches
Nile Express
Selah
Southeast Yakima
Sunnyside
Terrace Heights
Tieton
Toppenish
Wapato
West Valley
White Swan
Yakima Central (Downtown)
Zillah
Outreach Services
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5
Please have a CLEAR photo of your game card ready to upload for the next section. Make sure your name is printed neatly across the top of the form.
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I am a patron submitting my own game card.
I am YVL staff submitting on behalf of a patron.
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6
GAME CARD SUBMISSION:
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7
How many BINGOs did you complete?
*
This field is required.
Remember, each completed line on your game card counts as one (1) BINGO. A blackout (filled in game card) counts as five (5) BINGOs.
1
2
3
4
5
6
7
8
9
10
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8
Each BINGO you completed earns you one (1) entry for each of the raffle items below.
*
This field is required.
$15 Inklings Card
$15 Encore Card
$15 Starbucks Card
$15 Amazon Card
BINGO # 1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
BINGO # 1
$15 Inklings Card
Row 0, Column 0
$15 Encore Card
Row 0, Column 1
$15 Starbucks Card
Row 0, Column 2
$15 Amazon Card
Row 0, Column 3
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9
Each BINGO you completed earns you one (1) entry for each of the raffle items below. You can use all of your entries for a single prize, or spread them out between prizes.
*
This field is required.
$15 Inklings Card
$15 Encore Card
$15 Starbucks Card
$15 Amazon Card
BINGO # 1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
BINGO #2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
BINGO # 1
BINGO #2
$15 Inklings Card
Row 0, Column 0
$15 Encore Card
Row 0, Column 1
$15 Starbucks Card
Row 0, Column 2
$15 Amazon Card
Row 0, Column 3
$15 Inklings Card
Row 1, Column 0
$15 Encore Card
Row 1, Column 1
$15 Starbucks Card
Row 1, Column 2
$15 Amazon Card
Row 1, Column 3
1
of 2
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10
Each BINGO you completed earns you one (1) entry for each of the raffle items below. You can use all of your entries for a single prize, or spread them out between prizes.
*
This field is required.
$15 Inklings Card
$15 Encore Card
$15 Starbucks Card
$15 Amazon Card
BINGO # 1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
BINGO #2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
BINGO #3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
BINGO # 1
BINGO #2
BINGO #3
$15 Inklings Card
Row 0, Column 0
$15 Encore Card
Row 0, Column 1
$15 Starbucks Card
Row 0, Column 2
$15 Amazon Card
Row 0, Column 3
$15 Inklings Card
Row 1, Column 0
$15 Encore Card
Row 1, Column 1
$15 Starbucks Card
Row 1, Column 2
$15 Amazon Card
Row 1, Column 3
$15 Inklings Card
Row 2, Column 0
$15 Encore Card
Row 2, Column 1
$15 Starbucks Card
Row 2, Column 2
$15 Amazon Card
Row 2, Column 3
1
of 3
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Enter
11
Each BINGO you completed earns you one (1) entry for each of the raffle items below. You can use all of your entries for a single prize, or spread them out between prizes.
*
This field is required.
$15 Inklings Card
$15 Encore Card
$15 Starbucks Card
$15 Amazon Card
BINGO # 1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
BINGO #2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
BINGO # 3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
BINGO #4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
BINGO # 1
BINGO #2
BINGO # 3
BINGO #4
$15 Inklings Card
Row 0, Column 0
$15 Encore Card
Row 0, Column 1
$15 Starbucks Card
Row 0, Column 2
$15 Amazon Card
Row 0, Column 3
$15 Inklings Card
Row 1, Column 0
$15 Encore Card
Row 1, Column 1
$15 Starbucks Card
Row 1, Column 2
$15 Amazon Card
Row 1, Column 3
$15 Inklings Card
Row 2, Column 0
$15 Encore Card
Row 2, Column 1
$15 Starbucks Card
Row 2, Column 2
$15 Amazon Card
Row 2, Column 3
$15 Inklings Card
Row 3, Column 0
$15 Encore Card
Row 3, Column 1
$15 Starbucks Card
Row 3, Column 2
$15 Amazon Card
Row 3, Column 3
1
of 4
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Enter
12
Each BINGO you completed earns you one (1) entry for each of the raffle items below. You can use all of your entries for a single prize, or spread them out between prizes.
*
This field is required.
$15 Inklings Card
$15 Encore Card
$15 Starbucks Card
$15 Amazon Card
BINGO # 1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
BINGO #2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
BINGO # 3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
BINGO #4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
BINGO #5
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
BINGO # 1
BINGO #2
BINGO # 3
BINGO #4
BINGO #5
$15 Inklings Card
Row 0, Column 0
$15 Encore Card
Row 0, Column 1
$15 Starbucks Card
Row 0, Column 2
$15 Amazon Card
Row 0, Column 3
$15 Inklings Card
Row 1, Column 0
$15 Encore Card
Row 1, Column 1
$15 Starbucks Card
Row 1, Column 2
$15 Amazon Card
Row 1, Column 3
$15 Inklings Card
Row 2, Column 0
$15 Encore Card
Row 2, Column 1
$15 Starbucks Card
Row 2, Column 2
$15 Amazon Card
Row 2, Column 3
$15 Inklings Card
Row 3, Column 0
$15 Encore Card
Row 3, Column 1
$15 Starbucks Card
Row 3, Column 2
$15 Amazon Card
Row 3, Column 3
$15 Inklings Card
Row 4, Column 0
$15 Encore Card
Row 4, Column 1
$15 Starbucks Card
Row 4, Column 2
$15 Amazon Card
Row 4, Column 3
1
of 5
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Enter
13
Each BINGO you completed earns you one (1) entry for each of the raffle items below. You can use all of your entries for a single prize, or spread them out between prizes.
*
This field is required.
$15 Inklings Card
$15 Encore Card
$15 Starbucks Card
$15 Amazon Card
BINGO #1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
BINGO #2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
BINGO #3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
BINGO #4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
BINGO #5
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
BINGO #6
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
BINGO #1
BINGO #2
BINGO #3
BINGO #4
BINGO #5
BINGO #6
$15 Inklings Card
Row 0, Column 0
$15 Encore Card
Row 0, Column 1
$15 Starbucks Card
Row 0, Column 2
$15 Amazon Card
Row 0, Column 3
$15 Inklings Card
Row 1, Column 0
$15 Encore Card
Row 1, Column 1
$15 Starbucks Card
Row 1, Column 2
$15 Amazon Card
Row 1, Column 3
$15 Inklings Card
Row 2, Column 0
$15 Encore Card
Row 2, Column 1
$15 Starbucks Card
Row 2, Column 2
$15 Amazon Card
Row 2, Column 3
$15 Inklings Card
Row 3, Column 0
$15 Encore Card
Row 3, Column 1
$15 Starbucks Card
Row 3, Column 2
$15 Amazon Card
Row 3, Column 3
$15 Inklings Card
Row 4, Column 0
$15 Encore Card
Row 4, Column 1
$15 Starbucks Card
Row 4, Column 2
$15 Amazon Card
Row 4, Column 3
$15 Inklings Card
Row 5, Column 0
$15 Encore Card
Row 5, Column 1
$15 Starbucks Card
Row 5, Column 2
$15 Amazon Card
Row 5, Column 3
1
of 6
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14
Each BINGO you completed earns you one (1) entry for each of the raffle items below. You can use all of your entries for a single prize, or spread them out between prizes.
*
This field is required.
$15 Inklings Card
$15 Encore Card
$15 Starbucks Card
$15 Amazon Card
BINGO # 1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
BINGO #2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
BINGO # 3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
BINGO #4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
BINGO #5
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
BINGO #6
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
BINGO #7
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
BINGO # 1
BINGO #2
BINGO # 3
BINGO #4
BINGO #5
BINGO #6
BINGO #7
$15 Inklings Card
Row 0, Column 0
$15 Encore Card
Row 0, Column 1
$15 Starbucks Card
Row 0, Column 2
$15 Amazon Card
Row 0, Column 3
$15 Inklings Card
Row 1, Column 0
$15 Encore Card
Row 1, Column 1
$15 Starbucks Card
Row 1, Column 2
$15 Amazon Card
Row 1, Column 3
$15 Inklings Card
Row 2, Column 0
$15 Encore Card
Row 2, Column 1
$15 Starbucks Card
Row 2, Column 2
$15 Amazon Card
Row 2, Column 3
$15 Inklings Card
Row 3, Column 0
$15 Encore Card
Row 3, Column 1
$15 Starbucks Card
Row 3, Column 2
$15 Amazon Card
Row 3, Column 3
$15 Inklings Card
Row 4, Column 0
$15 Encore Card
Row 4, Column 1
$15 Starbucks Card
Row 4, Column 2
$15 Amazon Card
Row 4, Column 3
$15 Inklings Card
Row 5, Column 0
$15 Encore Card
Row 5, Column 1
$15 Starbucks Card
Row 5, Column 2
$15 Amazon Card
Row 5, Column 3
$15 Inklings Card
Row 6, Column 0
$15 Encore Card
Row 6, Column 1
$15 Starbucks Card
Row 6, Column 2
$15 Amazon Card
Row 6, Column 3
1
of 7
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15
Each BINGO you completed earns you one (1) entry for each of the raffle items below. You can use all of your entries for a single prize, or spread them out between prizes.
*
This field is required.
$15 Inklings Card
$15 Encore Card
$15 Starbucks Card
$15 Amazon Card
BINGO # 1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
BINGO #2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
BINGO # 3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
BINGO #4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
BINGO #5
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
BINGO #6
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
BINGO #7
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
BINGO #8
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
BINGO # 1
BINGO #2
BINGO # 3
BINGO #4
BINGO #5
BINGO #6
BINGO #7
BINGO #8
$15 Inklings Card
Row 0, Column 0
$15 Encore Card
Row 0, Column 1
$15 Starbucks Card
Row 0, Column 2
$15 Amazon Card
Row 0, Column 3
$15 Inklings Card
Row 1, Column 0
$15 Encore Card
Row 1, Column 1
$15 Starbucks Card
Row 1, Column 2
$15 Amazon Card
Row 1, Column 3
$15 Inklings Card
Row 2, Column 0
$15 Encore Card
Row 2, Column 1
$15 Starbucks Card
Row 2, Column 2
$15 Amazon Card
Row 2, Column 3
$15 Inklings Card
Row 3, Column 0
$15 Encore Card
Row 3, Column 1
$15 Starbucks Card
Row 3, Column 2
$15 Amazon Card
Row 3, Column 3
$15 Inklings Card
Row 4, Column 0
$15 Encore Card
Row 4, Column 1
$15 Starbucks Card
Row 4, Column 2
$15 Amazon Card
Row 4, Column 3
$15 Inklings Card
Row 5, Column 0
$15 Encore Card
Row 5, Column 1
$15 Starbucks Card
Row 5, Column 2
$15 Amazon Card
Row 5, Column 3
$15 Inklings Card
Row 6, Column 0
$15 Encore Card
Row 6, Column 1
$15 Starbucks Card
Row 6, Column 2
$15 Amazon Card
Row 6, Column 3
$15 Inklings Card
Row 7, Column 0
$15 Encore Card
Row 7, Column 1
$15 Starbucks Card
Row 7, Column 2
$15 Amazon Card
Row 7, Column 3
1
of 8
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Enter
16
Each BINGO you completed earns you one (1) entry for each of the raffle items below. You can use all of your entries for a single prize, or spread them out between prizes.
*
This field is required.
$15 Inklings Card
$15 Encore Card
$15 Starbucks Card
$15 Amazon Card
BINGO # 1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
BINGO #2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
BINGO # 3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
BINGO #4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
BINGO #5
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
BINGO #6
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
BINGO #7
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
BINGO #8
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
BINGO #9
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Row 8, Column 3
BINGO # 1
BINGO #2
BINGO # 3
BINGO #4
BINGO #5
BINGO #6
BINGO #7
BINGO #8
BINGO #9
$15 Inklings Card
Row 0, Column 0
$15 Encore Card
Row 0, Column 1
$15 Starbucks Card
Row 0, Column 2
$15 Amazon Card
Row 0, Column 3
$15 Inklings Card
Row 1, Column 0
$15 Encore Card
Row 1, Column 1
$15 Starbucks Card
Row 1, Column 2
$15 Amazon Card
Row 1, Column 3
$15 Inklings Card
Row 2, Column 0
$15 Encore Card
Row 2, Column 1
$15 Starbucks Card
Row 2, Column 2
$15 Amazon Card
Row 2, Column 3
$15 Inklings Card
Row 3, Column 0
$15 Encore Card
Row 3, Column 1
$15 Starbucks Card
Row 3, Column 2
$15 Amazon Card
Row 3, Column 3
$15 Inklings Card
Row 4, Column 0
$15 Encore Card
Row 4, Column 1
$15 Starbucks Card
Row 4, Column 2
$15 Amazon Card
Row 4, Column 3
$15 Inklings Card
Row 5, Column 0
$15 Encore Card
Row 5, Column 1
$15 Starbucks Card
Row 5, Column 2
$15 Amazon Card
Row 5, Column 3
$15 Inklings Card
Row 6, Column 0
$15 Encore Card
Row 6, Column 1
$15 Starbucks Card
Row 6, Column 2
$15 Amazon Card
Row 6, Column 3
$15 Inklings Card
Row 7, Column 0
$15 Encore Card
Row 7, Column 1
$15 Starbucks Card
Row 7, Column 2
$15 Amazon Card
Row 7, Column 3
$15 Inklings Card
Row 8, Column 0
$15 Encore Card
Row 8, Column 1
$15 Starbucks Card
Row 8, Column 2
$15 Amazon Card
Row 8, Column 3
1
of 9
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17
Each BINGO you completed earns you one (1) entry for each of the raffle items below. You can use all of your entries for a single prize, or spread them out between prizes.
*
This field is required.
$15 Inklings Card
$15 Encore Card
$15 Starbucks Card
$15 Amazon Card
BINGO # 1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
BINGO #2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
BINGO # 3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
BINGO #4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
BINGO #5
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
BINGO #6
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
BINGO #7
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
BINGO #8
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
BINGO #9
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Row 8, Column 3
BINGO #10
Row 9, Column 0
Row 9, Column 1
Row 9, Column 2
Row 9, Column 3
BINGO # 1
BINGO #2
BINGO # 3
BINGO #4
BINGO #5
BINGO #6
BINGO #7
BINGO #8
BINGO #9
BINGO #10
$15 Inklings Card
Row 0, Column 0
$15 Encore Card
Row 0, Column 1
$15 Starbucks Card
Row 0, Column 2
$15 Amazon Card
Row 0, Column 3
$15 Inklings Card
Row 1, Column 0
$15 Encore Card
Row 1, Column 1
$15 Starbucks Card
Row 1, Column 2
$15 Amazon Card
Row 1, Column 3
$15 Inklings Card
Row 2, Column 0
$15 Encore Card
Row 2, Column 1
$15 Starbucks Card
Row 2, Column 2
$15 Amazon Card
Row 2, Column 3
$15 Inklings Card
Row 3, Column 0
$15 Encore Card
Row 3, Column 1
$15 Starbucks Card
Row 3, Column 2
$15 Amazon Card
Row 3, Column 3
$15 Inklings Card
Row 4, Column 0
$15 Encore Card
Row 4, Column 1
$15 Starbucks Card
Row 4, Column 2
$15 Amazon Card
Row 4, Column 3
$15 Inklings Card
Row 5, Column 0
$15 Encore Card
Row 5, Column 1
$15 Starbucks Card
Row 5, Column 2
$15 Amazon Card
Row 5, Column 3
$15 Inklings Card
Row 6, Column 0
$15 Encore Card
Row 6, Column 1
$15 Starbucks Card
Row 6, Column 2
$15 Amazon Card
Row 6, Column 3
$15 Inklings Card
Row 7, Column 0
$15 Encore Card
Row 7, Column 1
$15 Starbucks Card
Row 7, Column 2
$15 Amazon Card
Row 7, Column 3
$15 Inklings Card
Row 8, Column 0
$15 Encore Card
Row 8, Column 1
$15 Starbucks Card
Row 8, Column 2
$15 Amazon Card
Row 8, Column 3
$15 Inklings Card
Row 9, Column 0
$15 Encore Card
Row 9, Column 1
$15 Starbucks Card
Row 9, Column 2
$15 Amazon Card
Row 9, Column 3
1
of 10
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18
What grand prize would you prefer?
*
This field is required.
Each BINGO you complete is also automatically entered in a drawing for one of our grand prizes listed below.
$50 Amazon gift card
$50 Inklings Bookshop gift card
$50 Encore Books gift card
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2022 YVL Winter Reading Challenge Raffle Entry Form
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