Tripoli Rocketry Association
Raffle Form
Name __________________________________________
TRA/NAR number (if applicable) ____________________
Certification level (if applicable) ______
Phone Number ( ) _____________________________
E-mail __________________________________________
Address _________________________________________
________________________________________________
Each raffle ticket costs $5
If you would like to purchase for months in advance, please tell us how many tickets per month and how many months.
Tickets per month____ Number of Months _____
Number of Raffle tickets purchased ___________________
Total amount enclosed $____________________________
Method of payment…
Check _____ Money order ______ Credit Card _____
Make check and money order out to Tripoli Rocketry Association (AMEX, VISA, Mastercard, Discover)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ exp. _ _ / _ _
Mail to: TRA RAFFLE; PO Box 970010, Orem, UT 84097-0010
If you are paying by Credit Card you may fax form to (402) 334-6876
Prizes will be drawn in order that they are donated, if the winner has won a prize that they cannot legally accept (i.e. level 2 motor) then they will automatically be given the next available prize. If prizes are not donated for any reason then the raffle tickets will automatically be moved to the following month. All monies sent to Tripoli Rocketry Association for the purpose of this raffle are non-refundable.
I agree to all rules of this raffle and Tripoli Rocketry Association
Signature ______________________________________
(required)