WISCONSIN STATE CHAPTER OF THE NWTF
10TH ANNIVERSARY
Stoeger Combo Package
BENEFIT RAFFLE
ONLY 750 TICKETS WILL BE SOLD

NAME: ___________________________________________________________
ADDRESS: ___________________________________________________________
CITY, ST ZIP: ___________________________________________________________
PHONE: ___________________________________________________________
EMAIL ADDRESS: ___________________________________________________________


NUMBER OF TICKETS: ______

1  for   $10.00
3  for   $20.00

TOTAL REMITTED: $__________

 PAYMENT BY:     Cash [   ]     Check [   ]     Money Order [   ]     Credit Card [   ]

CREDIT CARD INFORMATION


CARD TYPE:

________________________

CARD NUMBER:

_____________________________________
NAME ON CARD: ________________________ EXP. DATE: _______________

SIGNATURE:

___________________________________________________________

Please return this form with cash, check, MO or credit card payment to the address at right. Please make payments to: Wolf River Artisans' Guild. You may also go to www.wolfriverguild.org to pay on-line.

Verification of purchase will be via email.
Your ticket stubs will be placed in the drawing tub.
Winner will be notified via phone, mail and email.

MAILING ADDRESS:
Wolf River Artisans' Guild
N6017 Old Lake Road
Shawano, WI 54166-1304