2019 Truck Raffle

Purchaser First Name:

Purchaser Last Name:

Email:

Phone:

Address:

City:

State:

Zip:

Total Number of Raffle Shares @ $40 per ticket

Total Number of Raffle Shares @ $100 per 3 tickets

Name of Jordan Family that will receive credit for this sale

Each family reaching $500 in ticket sales receives 10 CD Passes for each student in their family. Top Selling family receives $500 Tuition Credit OR $500 Visa Gift Card

If this purchase is for someone else other than the purchaser to receive the entry, please fill out their information below.

Entry First Name:

Entry Last Name:

Entry Email:

Entry Phone:

Entry Address:

Entry City:

Entry State:

Entry Zip:

Total

Your total will be $0.

Early Bird drawings on August 30 ($500), September 30 ($500), and October 25($500)

Final Drawing on November 16, 2019 at the Jordan Gala
Winner has the option of a 2-year lease or $10,000

2-year lease option includes: sales tax, license & fees associated with the lease

Winner must be 18 years old & hold valid driver’s license

Need not be present to win!

To purchase in person, visit our school office at 2901 24th Street, Rock Island, IL 61201.

Get a spirit card with every $100 in tickets purchased.

spirit card

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