RVC Chamber 400 Reverse Raffle - Venmo, Check or Cash Payment Form

Each Raffle Ticket is $100. Please choose how many tickets you want. IMPORTANT: HIT THE SUBMIT BUTTON AT THE BOTTOM.

Name Name First Last
Phone Phone - ### - ### ####
Email
Choose How to get Your Ticket

Choose How to get Your Ticket Mail - Fill in the Address Field Below Pick Up at Douglas Elliman Real Estate - 304 Merrick Rd. , RVC - 516-669-3700
How Many Tickets?
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Payment

Payment Cash Check Venmo - Scan the Code Below
After hitting submit, below, ignore the Credit Card Form. Your purchase will be Saved.
How did you hear about the Chamber 400?
Notes
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