State of Michigan Raffle License R55599. 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. Grand prize valued at $18800. All prizes awarded at giant raffle are valued at $100 or more. There is no cash value or substitution for any prize. Winners of all prizes valued at $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 15, 2020.
Please print this page, or CLICK HERE for a downloadable PDF to print.
You may mail the completed form to us or email it to us at:
LARGE RAFFLE TICKET ORDER FORM FUN RUN 2020
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):_____
Name*
Address
City State Zip
Signature
*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.
