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

Mail to:
Freighter Trip Raffle
ISMA Lodge No. 5, Bay City
3236 Patterson Road
Bay City, Mi  48706




Name: ______________________________________________

Address: ____________________________________________

City: _______________________________________________

State/Province: _____________________________

Postal Code: _______________________________


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 March 8 , 2003. Winner need not be present at drawing to win.

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