Raffle Basket Submission Form
Name of Organization
*
Organization Address
*
Organization City and Zip Code
*
Contact Name
*
Contact Phone Number
*
Contact E-Mail
*
Beneficiary
*
Value of Raffle Basket
*
Date of Event
*
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Calendar
Deadline for Participating
*
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Calendar
How will Prevea be recognized for the donation?
*
Attach supporting information about this event.
*
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