2021 Blue Hope Bash Porsche Raffle Ticket Order Form

2021 Blue Hope Bash
Porsche Raffle Ticket Order Form

Tickets are $100/each.

Ticket holder need not be present to win.

A Little Background

How did you hear about this raffle?

Who referred you:

Ticket Information

Tickets are valued at $100 each. You do not need to be present to win.

How many tickets would you like to purchase?

Total Amount:

How would you like to pay for the tickets?

Credit Card Payment Information

Card First Name

Card Last Name

Card Type

Credit Card Number

Month

Year

Card CVV

Check/Cash Payment Information

Please mail a copy of the completed form and your payment to:

Colorectal Cancer Alliance

Attn: Jill DeMaio

1025 Vermont Ave NW Suite 1066

Washington, DC 20005

Once form is complete, please print it from browser before pushing submit.

On Windows, right click and choose print or press Ctrl+P.

On Mac, choose File < Print or press Command+P.

Billing Information

First Name

Last Name

Email Address

Phone Number

Address

City

State

Zip Code

Would you like your ticket(s) mailed to different address?

Different Mailing Address for Tickets

First Name

Last Name

Mailing Address

City

State

Edit this text

Zip Code

Important Information

Receiving your Raffle Tickets

Your raffle ticket(s) will be processed within 5 business days by a Colorectal Cancer Alliance staff member. Please note that there will be a .05 cent hold on the credit card entered above to authorize payment. After 5 days, the full transaction will be processed pending no issues with payment, and the .05 cent hold will be removed. The Colorectal Cancer Alliance’s office is open Monday-Friday 9AM-5-PM. Any form submitted on a weekend will be processed within 5 business days of the following Monday.

Once your payment has been processed your ticket stub(s) will be mailed to you at the address listed on the form. If the Alliance has any questions regarding your ticket order a staff member will contact you.

All tickets are expected to arrive via USPS within two weeks of your purchase.

Rules & Restrictions

Ticket holder need not be present to win. Must be 18 years old or older to win. Odds of winning are 1 in 1,250. Raffle licensed by the DC Office of Lottery and Gaming.

The winner will be drawn on November 13th during the Blue Hope Bash: One Nation Forward live broadcast. If not present for the broadcast, the winner will be contacted by phone/email on Monday, November 15th by a Colorectal Cancer Alliance staff member .

The winner is solely responsible for all taxes, title/document fees, tags, dealer prep, insurance and other applicable fees. There are no substitutions for other models, colors, or a return for cash value allowed.

As per IRS tax code, any amount paid for a raffle does not qualify as a deductible charitable contribution.

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Contact Information