Dream Big Raffle Ticket Order Form

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.

Dream Big Raffle*

Dream Big Raffle TicketA 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

Notes/Comments

Date of Drawing: October 19, 2024

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 October 19, 2024, Burlington Notre Dame School 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 School. The winner(s) of the raffle are the person(s) named on the ticket 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 Prompt #3 or

Email: christine.horne@bnotredame.org or jon.billups@bnotredame.org