1967 Camaro RS Convertible Tickets:

$    5.00 each
$  20.00 for 5 tickets
$100.00 for 40 tickets
Cash/Cheque/Money Order
Visa/Mastercard

To purchase tickets;
(you must be physically present in the Province
of Ontario when purchasing tickets)


1)  Mail the ticket form 
      and the payment to;
      Bill Csinos
      R.R. # 1
      LaSalette, Ontario
      Canada, N0E 1H0

         (please supply a postage paid envelope)

2) Submit the FORM on
    the "Car Raffle CONTACT"
    page with your
    VISA or MASTERCARD number,
     
and how many tickets
     you wish to purchase
     (tickets will be mailed to you)

3) To pay with "paypal"
     please fill in the form below
     and submit it;
    
(MINIMUM of 5 tickets purchased)

Name Item No. Qty Price Total
Subtotal $0.00
1.  Date

1. Date

Date
2.  Bill To

2. Bill To

First Name*

Last Name*

Company

Address*


City*

State*
Postal Code*

Country*
Email*

Day Phone*

Evening Phone

3.  Age Check

3. Age Check

Enter your age:*
4.  Payment Method

4. Payment Method

5.  Items Ordered

5. Items Ordered

Raffle Ticket

Raffle Ticket

Toy Ticket
Your ticket to WIN
this thrilling Package
$ 5.00 each
$ 20.00 for 5
$100.00 for 40
Quantity Price
1 - 4
$5.00
5 - 39
$4.00 buy 5 for $20.00
40+
$2.50 buy 40 for $100.00