#myHillel Raffle
Giving back to your Hillel
Name
*
First Name
Last Name
Email
*
example@example.com
Instagram
Enter your @handle so we can connect on IG
I am a/an...
*
Undergraduate Student
Graduate Student
Preferred Pronouns:
She/Her
He/Him
They/Them
Other
Expected Grad Year
*
2022
2023
2024
2025
2026
Raffle Entries
Entry Amounts
prev
next
( X )
1 Entry
$
5
CAD
5 Entries
$
10
CAD
15 Entries
$
18
CAD
50 Entries
$
36
CAD
Total
$
0.00
CAD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: