Madison County Historical Society

ALADDIN LAMP DONATION-RAFFLE

Name__________________________________

Address________________________________

City___________________________________

State & Zip______________________________

EMail__________________________________

Phone__________________________________

Order as many tickets are you wish.                    Tickets are (1) at $5.00 and packs of (3) are $10.00.

(1)Ticket=$5.00  _____

(3)Tickets=$10.00 _____

#of Packs of 3=_____x $10.00 = $_____

Total Enclosed Tickets=$______

 
 

First Prize

Second Prize

 

Please print this page and cut out the entry form to the left, fill it out, and mail it to:  Madison County Historical Society

                    P. O. Box 696

                    Anderson, IN  46015-0696

Please make all checks and/or money orders payable to:

                   Madison County Historical Society

Thank you so very much.  We certainly appreciate your interest and continued support.

The final draw will be held at our Society's monthly meeting on October 26, 2015.

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