POG Ticket Order Form

2026 Pot O' Blue & Gold Raffle Ticket Order Form

Final day of ticket sales is May 16, 2026
Name on Ticket*

First NameLast Name
Other Name(s) to Add to Ticket (Limit 20 Names)
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Home Phone Number
E-mail*
example@example.com
Ticket Seller Name
Name of person to give credit for this sale.
Notes/Comments
Last day of ticket sales is May 16, 2025

Chances of Winning a Prize: 1 in 53

Proceeds to Benefit Burlington Notre Dame School

Must be at least 18 years old to purchase ticket(s).

Prizes are subject to federal and state income tax withholding laws.

If fewer than 2,000 tickets are sold by May 16, 2026, the Burlington Notre Dame Foundation reseves the right to withdraw the listed prizes and split the net proceeds 50/50 with the winners. Other cash prizes will be reduced pro rata.

The ticket numbers used for this raffle are purely for the convenience of the Burlington Notre Dame Foundation. The winner(s) of the raffle are the person(s) named on the tickets selected, not the holder of any particular ticket number.

A maximum of 4,000 tickets will be sold.

NEED NOT BE PRESENT TO WIN.

Questions...

Call: 319-754-8431 ext 385 or

Email: jon.billups@bnotredame.org

2026 Pot O' Blue & Gold Raffle Tickets

A 4% convenience fee will be added to this order. Please complete payment information below to complete your order, and your ticket stub(s) will be mailed to you upon receipt.

$100.00 Quantity

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Should be Empty:

2026 Pot O' Blue & Gold Raffle Ticket Order Form

Payment Methods