Combined Community Raffle 2018-19

Contact: David Waterhouse 0450 068 887 / 4388 1749

TICKET REQUEST FORM

Address:

Number books of tickets (Tickets are stapled in books of 25):
Books

Bank Details:



Bank information required in order for us to transfer funds to you for sales made

Your Details:

Address:

Organisation Phone No.:

We, the participating organisation named above, acknowledge that we will undertake to account for all tickets and badges issued to us for this Form, which we will return to the holder of the Fundraising Authority (The Rotary Club of The Entrance, Inc.) on completion of this appeal.