The Rotary Club of South Lake Tahoe
2012 Great Car Raffle Ticket Request
If you'd like to participate in this year's raffle, please complete the form below and print it out using your browser's print button. Fax or mail it to the Rotary Club of South Lake Tahoe. A completed ticket stub will be returned to you.
| First Name | ||||
| Last Name | ||||
| Billing Address | ||||
| City | ||||
| State | ||||
| Zip | ||||
| Phone Number | ||||
| E-mail Address | ||||
| Number of Tickets | (Tickets are $50/ea.) | |||
| Payment Method | Visa | MasterCard | Discover | Check * |
| Credit Card Number | |||
| Credit Card Expiration Date | Security Code | (3 or 4-digit number from your card) | |
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Please sign here
* - Make checks payable to: Rotary Club of South Lake Tahoe
Fax your completed form to: 1+(888) 811-9378OR
Mail your completed form to:
Rotary Club of South Lake Tahoe
P.O. Box 19517
South Lake Tahoe, CA 96151
Laws governing participation in raffles vary by region. Confirm your eligibility before participating