State of Michigan Raffle License R59718. Must be 18 years of age to purchase tickets. Winners of any of prizes on giant raffle need not be present to win, must claim prize within thirty days or forfeit prize, and are responsible for any taxes and transportation of prize to them. Winners of prizes of $600 or more will be issued a tax statement showing the value of prize.
Final date online or mail ticket orders will be accepted and processed is May 28, 2021.
The raffle will revert to a 50/50 drawing if 4,000 tickets are not sold.
PLEASE CLICK ON THE FUN RUN BUTTON ABOVE FOR FULL DETAILS BEFORE ORDERING ANY TICKETS
Please print this page, or, for a downloadable PDF to print
You may mail the completed form to us or email it to us at: firstname.lastname@example.org
LARGE RAFFLE TICKET ORDER FORM FUN RUN 2021
Number of tickets at $5/ticket. Number of ticket packs at $20 for 5(five) tickets. Total Amount $ .
Make checks payable to Krusin Klassics Car Club.
MC VISA Discover Account # .
Expiration Date: Verification Code (This is three-digit code on back of your card):_____
City State Zip
*The name and address above should match name on credit card, you may request different name on each ticket.
Your credit card receipt will show Krusin Klassics. We will email a receipt and copy of tickets you purchased.
Telephone number ( ) .
Email address: .
If mailing your application, mail to Krusin Klassics, P O Box 1321, Escanaba, MI 49829.