California FFA Foundation Truck Raffle

Entry Form
Please complete the form below. You may either click submit or print and mail the form to the California FFA Foundation, PO Box 186, Galt, CA 95632. Once payment has been confirmed, ticket stubs will be mailed to you. Must be 18 years or older to win. Need not be present to win. Visa, Mastercard, American Express, Discover and checks accepted. Checks must be payable to the California FFA Foundation and received by March 9, 2023. Please note that California raffle laws prohibit us from collecting raffle payments through our website. For complete rules visit www.calaged.org/truckraffle. For questions please email foundation@californiaffa.org or call 209-744-1969.
Contact Information
Buyer Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Buyer E-mail *
Used to send confirmation
Confirm E-mail *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Payment Information
I would like to purchase tickets* raffle tickets @ $100 per ticket.
Payment Option *

Credit Card (Complete the information below and we will process payment) Check (Payable to the California FFA Foundation, mailed to P.O. Box 186, Galt, CA 95632) Please call me at the phone number above regarding payment.
Credit Card #
CVV#
Exp. Date (MM/YY)
I agree to cover the credit card processing fees for this transaction. *

Yes, I will cover the processing fees! No thank you. N/A
Signature

Clear
Agreement *

I have reviewed my selections and confirm that they are accurate. I have reviewed the Terms and Conditions at www.calaged.org/truckraffle.
Should be Empty:

Entry Form

Contact Information

Payment Information