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Fulfill your dream of going to the Super Bowl

Win a $10,000.00 Super Bowl Package or $5,000.00 cash!

$10,000 Value Package Includes:

* Airfare for Two to New Orleans
* Hotel Accomodations for Two
* 2 Upper Level
End Zone seats

* Kosher Food

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Number of Tickets:
1 Ticket - $50 | 2 Tickets - $90 | 4 Tickets - $165

All proceeds will bennefit our local teen program!

I Woul d Like To Purchase: Ticket(s).

Funds will be drawn on US currency.

Credit Card Information:

First Name on credit card:

Last Name on credit card:

Billing Address:




Card Type

Card Number

Expiration Date

CVV Security Code

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Ticket Holder Information:

Name (if different than card holder)



Contact info (to notify if you win)

Phone Number:

Email: (Raffle receipt will be sent here)

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