| Please complete
the form below and mail it to the below address with a check or money
order. Thank you! |
|
| (Print Clearly) | |
| Name: ________________________________ | |
| Address: __________________________ | |
| City: _________________________ | |
| State: _______ Zip Code: _______- _____ | |
| Phone: __________________________ | |
| Email (optional) ______________________________ | |
| Number of tickets: _____ at $10 per ticket or 3/$25 | = $ __________ (in US funds) |
|
Send form and Check
or Money Order to: Drawing/LSMMA PO Box 177 Duluth, MN 55801-0177 For more information call: 218-727-2497 |
|