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2022 Chrismas Raffle Payment Form

- Charity
  - 2022 Christmas Raffle Main Page
  - 2022 Chrismas Raffle Payment Form

2022 Christmas Raffle Payment Form

For your security, this raffle is registered at the Office of the Arizona Attorney General.
Here you can purchase your ticket(s) through our secure e-payment system. There are two ways to purchase tickets online: By credit card or by check. Please make sure to purchase your ticket(s) in multiples of $100.

After your purchase, you will receive an email notification that your payment has been processed succesfully and it will contain the details of your purchase.

It is important to provide an email address in order for us to send you a receipt of your payment.

Before submitting the form, please check that your information is free of errors.

Also make sure that your phone number is correct so we can contact you in case you are a winner of a prize.
God bless you!
Selection of tickets
The maximum number of form submissions has been reached. This form is currently not available.
- Number and value of tickets purchased REQUIRED Please fill out this field.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED
  Please provide a valid email
  Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
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