Raffle Ticket Form

Raffle Ticket Form

Please fill this form to enter the raffle. Each ticket costs $1
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
My Products*
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CNA Course
No limit on raffle tickets!

$1.00 Quantity



Phlebotomy Course
No limit on raffle tickets!

$1.00 Quantity



EKG course
No limit on raffle tickets!

$1.00 Quantity
Item subtotal:$0.00



Any course with BLS Certification
No limit on raffle tickets!

$3.13 Quantity
Item subtotal:$0.00



Total

$0.00
Cash App Payment

Submit payment via CASH APP. Once payment submitted please press "enter the raffle" to count your submission. If you have any issues text 313-385-3307 and someone will assist you.

GOOD LUCK!
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