EmailMe Form - 2015 50th Anniversary Ford Mustang Raffle

Single Raffle Ticket - $25.00
If you want to buy more than three tickets it is cheaper to buy the package.
Pack of 5 Tickets - $100.00
When you buy the package, you pay for 4 tickets and get the 5th one for FREE!
Billing Information
Name *
Prefix First Last Suffix
Card Type *
Card Number *
Security Code *
Expiration Date *
MM / YYYY
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Email *

Confirm Email
Phone *
### - ### - ####
Name to Appear on Ticket(s) *
We will send your tickets to you minus the ticket stubs, which will be filled out with your information and turned into the Jim Click raffle.
By clicking submit below I agree for my credit/debit card to be charged in the amount listed above for the purchase of (a) raffle ticket(s). I understand that this is a contest and there is no guarantee that I will win the prize.
ALL TICKET SALES ARE FINAL. NO REFUNDS.
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