Lions Club of St. Thomas

Congratulations!! Bill Wall of St. Thomas Ont.

Winner of $1000 Early Bird Draw Ticket #05116

OUR RAFFLE CAR

1966 CHEVY II Nova S.S.

Draw: SUNDAY, JUNE 17TH, 2012

@ Autofest in Pinafore Park

More Pictures (below)

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Ticket Order Form
Note: This form will email your information directly to the ticket order email. If this form does not function please email your information to wcudney@sympatico.ca.

First Name:
Last Name:

Address
Street Number:
Apt. #: (if required)
Street Name:
City/Town:
Province:
Postal Code:
Phone Number:

Number of Tickets

5 for $20.00 30 Tickets for $100.00 Individual Tickets $5.00/each
Number of Individual Tickets: at $5.00 each

Payment Type
VISA Master Card Cheque

Cheque Number:
Credit Card Number: Expiry Date: /

Details or Comments:
Delete this text and add your own.

Note: Please make cheques payable to "Lions Club of St. Thomas" and send to Lions Club of St. Thomas C/O 33 Leger Ave. St. Thomas, ON N5R 5M8.
N.B.: Tickets will not be made out or stubs sent until after cheque is received. If this form does not send an email please just send an email to wcudney@sympatico.ca with your order information in the body.

Past Car Raffle Winners