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2023 St. Patrick's Day Raffle

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St. Patrick's Day Raffle
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- # of Tickets REQUIRED 6 Chances for $50.00 (must purchase 6 tickets for the discount) 1 Chance - $10.00 2 Chances - $20.00 3 Chances - $30.00 4 Chances - $40.00 5 Chances - $50.00 Please fill out this field.
- After submitting your registration form below, please proceed to the bottom of the page and complete your payment. Thank you.
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