2021 Truck Raffle

Step One:

Billing Details

Purchaser First Name:

Purchaser Last Name:

Email:

Phone:

Address:

City:

State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip:

Raffle Shares

Total Number of Raffle Shares @ $50 per ticket

Your total will be $.

Name of Jordan Family that will receive credit for this sale

Each ticket sale credited to a family will earn them 1 entry into the family tuition locker raffle.

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: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Entry Zip:

*There is a 3% processing fee for every order placed online

 

CLICK HERE for BRONCO PROMO VIDEO

 

CLICK HERE FOR F-150 PROMO VIDEO

 

Get a spirit card for every order placed (see back for card details)

Winner has the option of a 2-year lease on either vehicle pictured above or $10,000.
Cash prize will increase to $15,000 if 1,000 tickets are sold
2-year lease option includes: sales tax, license & fees associated with the lease
Winner must be 18 years old & hold valid driver's license

Drawing is Friday May 21, 2021

To purchase in person, visit our school office at 2901 24th Street, Rock Island, IL 61201.
Confirmation of your purchase will be mailed to you.

 

 Downloadable Order Form

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