Tickets 8 for $20

Name:

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My cheque or money order for $ _______________ is enclosed OR please bill my:

Mastercard

Visa

Credit Card Number:

Expiry Date:

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Minimum ticket purchase of $20 on Visa/Mastercard

Please make cheques payable to: River City Athletic Club

Glenora P.O. Box 53072, Edmonton, Alberta T5N 4A8

This raffle is licensed to sell tickets in the province of Alberta. Buyers must be eighteen (18) years of age.