Raffle Contact Information Raffle Contact Information Form Please provide your current contact information below: Name (Must be 18 yrs or older): Email [That You Monitor frequently]: Street Address: City: State: Zip Code: Contact telephone number : This is a Mobile Phone How Did You Hear About This Raffle? ---Word of MouthAt FOSAA BoothNewspaperRadioSocial Media Other special instructions (if any): Loading... Revised: 3/17/2015