VIP Raffle Virtual Donation Form

DONATE TO ST. JUDE!

EVERY DONATION MAKES A DIFFERENCE!
WITH YOUR DONATION YOU'LL BE ENTERED TO WIN A TICKET TO OUR 4TH ANNUAL

VIP CELEBRITY DINNER

FRIDAY, NOVEMBER 21ST

AT THE PARAGON CASINO RESORT
MAKE YOUR DONATION BY FILLING OUT THE FORM BELOW!
All virtual donations will be added to the final total raised during the car show weekend.
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*

Choose Your Donation Amount*

Single Donation $5.00

Single Donation $10.00

Single Donation $25.00

Single Donation $50.00

Single Donation$100.00

Total $0.00

DONATE TO ST. JUDE!