(To print this form, click "Ok" on the pop-up window or the "Print" button on your Web Browser)


leeatregurtha-jimhoffmanbsmall.jpg (10322 bytes) Mail to:
Lee A. Tregurtha Trip raffle
ISMA Detroit Lodge #7
Detroit River Station
Detroit, MI 48222
Please make check or money order payable to: ISMA Detroit Lodge No. 7


 
 

 

   

Name: ______________________________________________

Address: ____________________________________________

City: _______________________________________________

State/Province: _____________________________

Postal Code: _______________________________

Country:______________

Phone: (___)___________

Amount Enclosed: ___________ tickets are $10.00 (U.S.) each

Number of tickets: ______


Your ticket(s) will be promptly mailed to you.
Drawing will be held on July 4, 2000. Winner need not be present at drawing to win.

[FrontPage Save Results Component]

I wish to be notified of future raffles by Detroit Lodge No. 7 via:
mail to above address OR e-mail at:__________________

State of Michigan Raffle License #R56817
For Additional information call 313-791-8452


Return to Great Lakes & Seaway Shipping    http://www.boatnerd.com