Kwanzaa Raffle Ticket Form
Please fill this form to enter the raffle. Each ticket costs $5.00. You do not need to be present to win. Pick up within 72hrs. Tickets can be purchased in quantities of 5.
How many tickets do you want to purchase?
Please Select
1
2
3
4
5
Ticket Number
Ticket Number
Ticket Number
Ticket Number
Ticket Number
Total Cost
Name
First Name
Last Name
Total Ticket Price
prev
next
( X )
USD
Description
Email
example@example.com
Phone Number
Please enter a valid phone number.
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Enter the Raffle!
Should be Empty: