2017 RAFFLE TICKET ORDER FORM


$10.00 PER TICKET500 TICKETS TO BE SOLD
  • There will be two drawings for $250.00 at each of the NCCC Governors
    meetings in February and May, 2017.
  • On line raffle ticket orders will be available through April 24, 2017
  • There is a $0.40 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 @ $10.00 each: