ENTER TO WIN AMAZING PRIZES
Limited to US. Please fill this form to enter the raffle. Each ticket costs $10.00. Funds goes towards a great cause. A single raffle ticket can only win once. For a chance to win multiple items, you will have to buy more than one ticket. Winners will select Dec. 15th at 7 PM live on https://www.facebook.com/DCrucial1/ using an app to randomly pick the winners. The winners will be contacted using the information provided.
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Ticket Number
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Description
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Mailing Address (Optional: can provide upon winning a raffle item)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
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Enter the Raffle!
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