Drawing #1 Red, White and Blue 5 Day.
17 spots @ $100!!!!! (Any Oversells will be added to next drawing.)
Step 1-Racer 1 Name
*
First Name
Last Name
Step 2-Racer 2 Name
*
First Name
Last Name
Step 3-Email
*
example@example.com
Step 5 Select Number of Chances in Drop Down
*
Step 4-Phone Number
*
-
Area Code
Phone Number
Step 6- Please Select the Number of Chances from Step 5.
*
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( X )
1 Chance - SDPC GABR 5 Day Drawing.
$
100.00
1 Chance - $100
2 Chances - SDPC GABR 5 Day Drawing.
$
200.00
2 Chances - $200
3 Chances - SDPC GABR 5 Day Drawing.
$
300.00
3 Chances - $300
4 Chances - SDPC GABR 5 Day Drawing.
$
400.00
4 Chances - $400
Total
$
0.00
Step 7- Credit Card Payment
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please ONLY hit Submit Botton Once.
ALL Payments Made Through Secure Portal.
Submit
Should be Empty:
