Future Event Registrations

Please fill out the form below to get updated on our contact list.

Contact us

My current ticket number for the Raffle is: : *

Last Name : *

First Name : *

Mailing Street Address : *

City : *

State : *

Zip Code : *

Phone Number :

This phone is : * A Cellphone A Land Line / Home Phone Other

Cell Provider :

I accept text messaging : Yes, Please text me Yes, but I do not prefer texts No, please do not text

Email : *

Please use my email for : * Information about future events Information about my winning Please do not email me

I want future tickets for the June Cash Raffle : * Yes No

I want future tickets for the Spring Mega-Raffle : * Yes No

If possible, the Ticket number I prefer in the future is :

I want future tickets for the December Cash Raffle : * Yes No

I am interested in your Chicken BBQ in August : * Yes No

By using this form you agree with the storage and handling of your data by this website

4,677 total views, 5 views today