The Best of Ohio Raffle Form

The Best of Ohio Raffle Form

Please Fill-out the form below and we will contact you to make arrangements
Company or Organization Name*
If this is an individual donation just put NA in the above box.
Full Name of Contact Person*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone CallText MessageEmail
When will your item be ready for Pick-up?*

MonthDayYear
Date
What is the item/service/etc. that you are donating?*
Please verify that you are human*
Thank you for your generous support.

We will send you a receipt for your Tax Deduction after the Expo.
Should be Empty: