Rolex Raffle Ticket Entry Form
Fill out this form to enter the raffle for the Rolex Submariner Date in Oystersteel, with an appraised value of $15,000. Each ticket costs $50 and 100% of proceeds will support Lucy's Love Bus and our mission to provide comfort and moments of joy to childhood cancer families in New England! Please email stephanie@lucyslovebus.org with any questions!
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Total Cost
Cost
Name
*
First Name
Last Name
Email
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Phone Number
*
Please enter a valid phone number.
Total due:
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Billing Address
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Street Address Line 2
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Void where prohibited. Open only to legal United States residents, 18 or older, and must be purchased while in the United States.
*
Signature
*
Required for raffle ticket sales. This will be included in your emailed raffle ticket.
Enter the Raffle!
Enter the Raffle!
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