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Saint Bernard Classic Car Giveaway 2005!

Please complete and send the following to reserve your raffle tickets.
We are no longer selling tickets for our
2005 Giveaway.  The drawing was held
on July 9, 2005.  The winning ticket was #2840

 Name:
Phone:
Email Address:

Address to send tickets and receipts to: .
Street Address:
City:
State:
Zip Code:

Raffle Tickets:   [$30 each -or-  4 for $100]

@ $30 ea.

 @ 4 for $100
Total Number Tickets: #
Total Amount: $

Credit Card Information:

Name on Credit Card:
Type of Credit Card:
Credit Card Number:
Expiration Date:

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