National Humane Society
Raffle Plus
Please select the number of tickets you wish to purchase. (Tickets are $100.00 each)+(Raffle Plus fee $100.00) Please send me 3 raffle tickets and get 3 free Please send me 1 raffle ticket Your raffle tickets will be filled out and sent to you. Please supply the following information: Full Name (required) Address (required) City (required) State Zip (both required) Phone # (required) Email: (required) Where did you see our ad? (select one) Magazine Postcard Online If Magazine, which one? Your payment information: Select one: Visa MC Amex Discover Sending Check Account Number (required for credit cards) Exp. Date (MM/YY) (required for credit cards) Comments: Mail To: N.H.S. 40 E.Main Street #364-I Newark, DE-19711 Fax:302-369-8284
Please select the number of tickets you wish to purchase.
(Tickets are $100.00 each)+(Raffle Plus fee $100.00)
Your raffle tickets will be filled out and sent to you. Please supply the following information:
Where did you see our ad? (select one)
Your payment information:
Comments:
Mail To: N.H.S. 40 E.Main Street #364-I Newark, DE-19711 Fax:302-369-8284
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