SPRING RAFFLE Printable Order Form:

Print this form and mail, with your payment to:

Jennifer MacDonald, PO Box 75, Hornepayne, Ontario, P0M-1Z0

 

Name:
Address:
City:
Province:
Postal Code:
Email:
Phone:

 

Item Quantity Requested Price Per Item Amount Due
SPRING RAFFLE tickets $2.00/each or 3 for $5.00

    Shipping Free
    Taxes Free
    TOTAL AMOUNT DUE:

 

Payment Method:   Visa     Master Card   Cheque     Money Order

Name on Card:

Credit Card Number:

Expiry Date:   

 

Good Luck!

 

**Orders received after the April 15th, 2010 draw will be returned and will not be entered or eligible to win**