TMC Mega Raffle

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NOTE: Checkout is in TEST MODE. Your order will not issue real tickets.

Raffle Tickets

Each raffle ticket enters you into the final drawing and any remaining early drawings.

50/50 Add-On Tickets

Current jackpot is $0. Each Add-On Ticket enters you into the 50/50 Add-On drawing for a chance to win half the jackpot.

Email to Notify Winner

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Order Total: $

Billing Information

First Name

Last Name

Address

City

State

Zip Code

Billing Phone

Ticket Holder Phone (if different)

Ticket holder is at least 21 years of age

Ticket Information

Is this a gift, or is mailing address different from billing?

Referral

How did you find out about the raffle?

Brochure

Television

Radio

Newspaper

TMC Employee / Hospital Employee

Word of Mouth/Friend/Family

Other

If Other, Please Specify

Have you purchased tickets for this raffle in the past?

Past Participant

Payment Information

Card Number

We accept American Express, Visa, MasterCard and Discover.
We also accept debit cards with Visa or Mastercard logos.

Expiration Date

Security Code

Last 3 digits on back of card, or 4 digits on front of American Express above account number

Using previously-entered card.

Enter New Card