St. Agnes Fathers' Club

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Super Raffle - Ticket Request

- Super Raffle
SAFC Super Raffle
GRAND PRIZE - $10,000
SECOND PRIZE - $3,500
THIRD PRIZE - $1,000

ONLY 300 TICKETS WILL BE SOLD!
Winners will be drawn on January 27, 2023
Tickets are $100.00 each !

The maximum number of form submissions has been reached. This form is currently not available.
- Raffle Ticket - select quantity REQUIRED 100.0 – One (1) Ticket 200.0 – Two (2) Tickets 300.0 – Three (3) Tickets 400.0 – Four (4) Tickets 500.0 – Five (5) Tickets 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.
- Mailing Address 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.
- Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
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