2017 RAFFLE TICKET ORDER FORM


$50.00 PER TICKET2000 TICKETS TO BE SOLD
  • Winner Will Receive a $56,500.00 Certificate towards a new Corvette
    or $40,000.00 cash.
  • Raffle to Benefit St. Jude Childrens Research Hospital
  • Winner to be drawn August 25, 2017
  • 100% refund if raffle not sold out or held
  • On line raffle ticket orders will be available through August 15, 2017
  • There is a $2.00 charge for shipping & handling per ticket if purchasing online
  • For NCCC members purchasing online, enter your NCCC number to autocomplete
    the information (ex: RR-CCC-NNNN(L)(LM)(LML))
NCCC #: (optional)
First Name: Last Name:
Address:
City: State:
Zip Code: Phone:
Email Address:
Number of tickets @ $50.00 each: