Were Sorry, the deadline has passed for mail in orders.

(To print this form, click the "Print" button on your Web Browser)

Send your check or money order to: Great Lakes & Seaway Shipping Online 1110 South Main Street Findlay, OH 45840-2239

 All proceeds from the raffle benefit the BoatNerd.Com web site

Deadline - Checks must be received no later than June 4, 2008.

Please print clearly.

Name: ______________________________________________

Address: ____________________________________________

City: _______________________________________________

State/Province: _____________________________

Postal Code: _______________________________

Country:______________

Phone: (______)_______________

E-Mail: _______________

Number of tickets: ___________ tickets are $10.00 (U.S.) each
_____ 3 for $25     _____ 6 for $50     _____ 14 for $100

Amount Enclosed: ___________

Great Lakes & Seaway Shipping Online, Inc. is a non-profit 501(C)(3)  corporation

State of Michigan Raffle License # R95375