|
If paying by check, Visa or Mastercard:
Print this page, complete the form and send it with your payment to:
Charles Perdew Museum Association PO Box 211 Henry, IL 61537
If paying online with Visa or MasterCard:
Go to the Contact Us page on our website and indicate in the comments section that you want to enter the Crow Call Raffle, state the number of tickets you wish to purchase and then complete the remainder of the form, or call us at 309-364-3261. |
|
Name: _______________________________________ # of Tickets: ___________________
Address: _____________________________________ Amount Enclosed: $______________
City: __________________________________ State: ____________ Zip: ______________
Telephone: _______________________________ Email: ____________________________
Credit Card Number: ___________________________________ Expires: _______________ |
|
Donation $5.00 each ticket or 5 tickets for $20.00 Drawing 10/08/07 |
|
Last year’s winner: Linda Allen, Bethalto Illinois
Please note that you will receive your tickets by US mail in approximately 10 days after receipt of payment. |
