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Email Request for Raffle Tickets

There are two raffles this year, one for framed wildlife prints and one for a Mossberg 500 Super Bantam Turkey Shotgun.

If you would like to request tickets via email, please fill out the form below. This form will send an email to the Youth Field Day Committee and someone will contact you.

1. First Name:    
2. Last Name:    
3. Address 1:    
4. Address 2:  
5. City:    
6. State: ALABAMA ALASKA AMERICAN SAMOA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING  
7. ZIP:    
8. Phone:       (555) 555-5555
9. email:    
   

How many wildlife print tickets would you like?    

How many Mossberg 500 Shotgun tickets would you like?