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  Mail to: ISMA Detroit Lodge No. 7
Detroit River Station
Detroit, MI 48222
Checks payable to ISMA Detroit Lodge No. 7

Name: ______________________________________________

Address: ____________________________________________

City: _______________________________________________

State/Province: _____________________________

Postal Code: _______________________________

Country:______________

Phone: (___)___________

Number of tickets: ___________ tickets are $10.00 (US) each or 3 tickets for $25


Amount Enclosed: ___________

Drawing will take place February 20, 2010 at Bayview Yacht Club, Detroit, MI

 

Michigan Raffle License No. R-01808


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