Zeta Epsilon Gas Pump Raffle
Please fill this form to enter the raffle. Drawing: May 2, 2026 at 4:29 PM
Ticket Options
1 Ticket - $5
5 Tickets - $20
8 Tickets - $30
How many tickets do you want to purchase?
Please Select
1
2
3
4
5
6
7
8
Total Cost
Payment Options-Memo Mention: "Last name, Gas Raffle"
Cash Ap: $IPLZetaEpsilon
Zelle: IPL.zetaepsilon@gmail.com
Paypal : IPL.zetaepsilon@gmail.com
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Enter the Raffle!
Should be Empty: