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HomeMeeting InformationPresident's MessageOfficers & DirectorsClub MembersLions ProgramsPhoto AlbumsCalendar About LionsBecoming A MemberUseful Links Donate to Somers Lions Lens & Optical Kits Car Raffle TicketsMail-In FormScholarship Application Contact UsSite MapAuctionFor members...Administration Login
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Name: _______________________________________________________________________ Address: _______________________________________________________________________ Phone: __________________________________ Email: ______________________________ Seller: _______________________________________________________________________ (Check One) _____ Check _____ MasterCard _____ Visa _____ American Express Card # _________________________________________ Exp. Date _____________ V Code ________ Please complete the above and mail along with a check for $100.00 per ticket payable to the Somers Lions Charitable Foundation, Inc. - Car Raffle. P.O. 95, Somers, NY 10589 or fill in your card number, expiration date and we will charge your account. Ticket(s) will be mailed to the address on the request form. Taxes & Fees are the responsibility of the winner. |
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