100% of Net Proceeds To Benefit Local and Area Schools and Charitable Non-Profit Groups (List)


COMPLETE THE AMERICAN DREAM RAFFLE TICKET FORM
THEN CLICK THE SUBMIT BUTTON


I want to buy
*
If you buy a last chance gold ticket you must understand that this purchase does not qualify for a free gold ticket. Any gold tickets wanting free gold included must be purchased at the discounted price of $116 with code.

10% discount code The 3-character code from your mailer or flyer


Name (as printed on Credit Card) First * Last *

Credit Card Billing Address *

City * State * Zip *

Telephone with area code like (999) 999-9999 *

E-mail Address *
Your email address will be used for American Dream Raffle communication only and will not be sold to a 3rd party

Credit Card Type Mastercard     VISA     Discover *     Credit Card # *
                      Enter 16 digits with no spaces or "-"s

Expiration Date * *

As of 3/20/15 we must have the 3 or 4 digit Card Security Code from the card back. Enter it in the Comments field. *

Comments

                   *Required Field
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