raffle email.jpg

$180 1 Ticket 
$360 2 tickets 
$500 3 tickets 
$1,800 12 tickets
I would like to contribute $  
towards the raffle campaign. 

Ticket Holder Information

First Name Last Name
Email Phone (for prize winning notification)

BILLING: Cardholder Information



 Please send receipt to this address.   Same as billing information
First Name   Name
Last Name   Address
Address   City
City   State
State   Zip
Card Type        
Card Number  

Exp. Date    
Yes! I'd like to receive email updates about your programs. 
Email addresses will not be shared with any other entity.
CVV Code  What's this?  

Drawing will be held May 2nd, 2013

Rules and information: By entering this raffle, participant (and participant's parent/legal guardian) waives all rights to claim punitive, incidental and consequential damages, attorneys' fees or any damages other than actual out-of pocket costs incurred to enter. Other Chabad affilliates market and refer purchasers to this raffle. Proceeds of the raffle purchases are go strictly to the individual center. Winners will assume and be responsible for any licensing, registration, and other fees, and any local, state and federal taxes, including without limitation any applicable sales, use, luxury, income and special taxes. The decision of Chabad of Longmont shall be final on all matters concerning the raffle. By entering the raffle, the participant agrees that his/her name and likeness may be used for promotional purposes. All participants must be 18 years of age or older.