Corvette Raffle Ticket

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Somers Lions Club

Charity Raffle

GRAND PRIZE  - Brand New Corvette Coupe

or $35,000 CASH

                     Second Prize $2000, Third Prize $1,000, Fourth Prize $500

ONLY 1000 TICKETS WILL BE SOLD

DONATION $100.00 PER TICKET

Buy 3 Tickets get 1 Free

Raffle Date: Independence Day Celebration June 27, 2009

at Reis Park in Somers, New York at 8:00 PM

Proceeds from the raffle will be given to Guiding Eyes for the Blind,

The Friends of Karen and other Local Charities

Click here to purchase On-Line!

or

Please complete below and mail along with a check for $100.00 per ticket payable to the

Somers Lions Club, PO Box 95, Somers, NY 10589 or fill in your Card number, Expiration

Date and mail or fax back to 914-232-7226 and we will charge your account.

Name:__________________________________________________

Address:____________________________________________________________________________

City/St./Zip:_________________________________________Phone:___________________________

Master Card___ Visa___ American Express___ (Check One)

Card# ___________________ Exp. Date____________ V Code_________