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Thank You and Good Luck!! |
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Classic Car Draw Ticket Order Form |
| Please print off the form, fill it out
and mail with your cheque, money order or credit card (Visa, Master
Charge, or American Express) information to:
Elmvale Lions Club Please make cheques and money orders payable to: Elmvale & District Lions Club You may also order by phone at 705-322-2732 |
| Please send me | ________ tickets. | If tickets are sold out, would you accept a ticket for next year's Corvette draw? |
| Total amount enclosed: | $ _____________ | Please circle: YES NO |
| Name: | _____________________________________ | |
| Address: | _____________________________________ | |
| _____________________________________ | ||
| City: | _____________________________________ | |
| Province/State: | _____________________________________ | |
| Country: | _____________________________________ | |
| Postal/Zip Code: | _____________________________________ | |
| Telephone
Number: (include area code) |
_____________________________________ | |
| Credit Card Information Please note: (Visa, Master Charge or American Express) |
|
| Card Number: | ____________________________________ |
| Expiry Date: | ____________________________________ |
| Name:
Please Print (as it appears on card) |
____________________________________ |
| Signature: | ____________________________________ |
Car draw tickets will be mailed after we have received payment.
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Thank You and Good Luck!! |
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