Dog Quilt Raffle Tickets

Using this form will enable you to purchase Raffle Tickets through the Grand Chapter of Kansas, Order of Eastern Star utilizing a Credit, Debit or PayPal account. Please complete the form and click on "Submit" when completed. If you have any questions, please email "KansasGrandChapterOES@gmail.com".

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Both the single and multiple ticket options may be used to reach the desired number of tickets. For example, if 7 tickets are desired, then 1 single ticket plus 1 multiple ticket (6 tickets) would be used.

Single Ticket(s)

Price: $1.00

Purchase Single Tickets up to 4. $1.00 per ticket.

6 Tickets for $5.00

Price: $5.00

Use for groups of 5 or 6 tickets

Total Number of Tickets Purchased

Delivery of Tickets

Mail
Pickup Tickets

Credit Card Charge

Price: $0.00

We are adding 3% to the Payment Amount to cover PayPal Charges.

Total

Item Quantity Qty Total

There are no products selected.

Single Ticket(s) 0 $0.00

6 Tickets for $5.00 0 $0.00

Cost to Mail 1 $2.00

Credit Card Charge 1 $0.00

Total $0.00

PayPal Commerce *

Card Number

Expiration Date

Security Code

Card Holder Name

Dog Quilt Raffle Tickets

Both the single and multiple ticket options may be used to reach the desired number of tickets. For example, if 7 tickets are desired, then 1 single ticket plus 1 multiple ticket (6 tickets) would be used.

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