Jason White Bike Raffle

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First Name Last Name *

First

Last

Email Address *

Cell Number

They Name Used

How Many Tickets They Would Like To Purchase *

Which Payment Method Will Be Used *

• Zelle
• PayPal
• CashApp
• Venmo

Submit

CashApp – cash.me/$lpsmom2002

Venmo – venmo.com/lpsmom2002

PayPal – https://www.paypal.com/paypalme/jplady01

Zelle – 3374969519 – Mariah Laughlin