Information Links

ONLINE - Raffle Ticket PURCHASE

To Be Drawn On

October 5, 2008

            $5 each
                   or
           4 for $20
    Extreme Makeover
          BACKYARD
          valued at
     more than $6700

Complete Form Below by Tabbing or Clicking Forward - DO NOT USE ENTER KEY EXCEPT TO SUBMIT

First Name

Last Name

Address

City Postal Code

Telephone #

Email for Confirmation

Payment Method VISA MASTERCARD CASH CHEQUE

Card Number
Expiry Date /

Name On Card

Quantity Of Tickets
Requested

Confirm Order