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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: _______________________________

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

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