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Leaves of Class XI Tickets


Over $12,700 in gifts.

Your $20 donation means 12 chances to win extraordinary prizes! Your
presence is not required at monthly drawings.

A limited number of chances will be sold. The drawing will begin on 31 January 2009 and continue through 31 December 2009.

 
   
* First Name:
   Middle Initial:
* Last Name:
* Billing Address:
* City:
* State:
* Zip/Postal Code:
   Email Address:
*Home Phone Number:
  Work/Cell Phone:
  Ticket Order Quantity   Price  Total
Number of Tickets   x $20 = $
         Grand Total: $
* Method of Payment:
* Credit Card Number:
* Expiration Date:

Gift envelopes available by calling 570-941-7816

 
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