ST. MARY’S CORVETTE RAFFLE

MAIL IN FORM

To Order by Check Please make check payable to:
St. Mary’s Corvette Raffle


and send enclosed funds to:
St. Mary’s Catholic Church
320 Middle Avenue
Elyria, Ohio 44035

ATTN: Car Raffle


Please send me:

Tickets:                  Quantity

1 -   $  10.00    =                     $ ______ _

 3-   $  20.00    =                     $  _______

  8 -   $50.00   =                      $  ________

20- $100.00
 



Name: _________________________________________________________________________________________
                                            (Please Print)

Address: _______________________________________________________________________________________

City:  ________________________________________  State:   _____________   Zip _________________________

Phone: (            )                                                       Alt Phone:  (            )                                                        

Email:                                                                                                                                                              

Saw Ad:                                                                                                                                                          



Credit Cards Payments please complete below

Credit Card #                                                        Card Verification Number_______ (the three digit number that appears on the back of a credit card).    

Expiration Date:                    


Signature:                                                                                                                                                        





 

              

             

Void where prohibited by law. Participant must be 18 or older. Winner is responsible for all transfer costs, taxes and fees and pickup of vehicle.  St. Mary’s Church is located in North Central Ohio. St. Mary’s Church is a tax exempt 503(d) non-profit organization

Tickets will be mailed back within 10 Business days of receiving the mail in form.