2020 MOVIE THEATER EXPERIENCE RAFFLE TICKET ORDER FORM
Online tickets will be sold until Februaty 29, 2020 3PM
Your ticket numbers will be emailed to you.
Single Tickets ($10 each): 12---
Three Tickets (3 for $25): ---36912151821242730
*Ticket prices a 4% Credit Card Processing Fee
Billing Information:
First Name:
Last Name:
Phone: Email:
Address:
City:
State: Zip Code:
Credit Card Number:
Experation Date: -----123456789101112 / ----201720182019202020212022202320242025
Verification Code:
I understand and approve a 4% credit card processing fee that is added to my ticket price.
I authorize Queen of the Rosary to charge my credit card.
*Without this authorization Queen of the Rosary cannot process your order.