Dream BIG Raffle Official Entry Form
Complete and mail this form to:
Boys & Girls Clubs of Metro Denver Raffle
2017 West 9th Ave
Denver, CO 80204
Single ticket(s) at $150 each
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Total Amount: $
3-pack(s) at $400 each
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Total Amount: $
5-pack(s) at $550 each
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Total Amount: $
50/50 Bonus Ticket
(Must be ordered in conjunction with and at the same time as the Dream BIG Raffle ticket)
Single ticket(s) at $10 each
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Total Amount: $
5-pack(s) at $25 each
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Total Amount: $
15-pack(s) at $50 each
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Total Amount: $
 Check enclosed – payable to Boys & Girls Clubs of Metro Denver Raffle
Or, please charge my (check one):
 VISA
Card Number:
 MasterCard
 Discover
Security Code:
(last three numbers on signature line on back of credit card)
Expiration Date:
Signature:
Email Address:
Please print legibly so we may process your order without delay:
Name On Credit Card:
Phone:
Billing Address:
City:
State:
Name To Appear On Ticket:
Zip:
Phone:
Mailing Address For Ticket:
City:
State:
Zip:
Email:
How did you hear about the raffle?
You may also purchase tickets online at: www.MileHighRaffle.com or make a ticket reservation by calling toll free: 1-888-506-6053
All entries received OR POSTMARKED before the drawing deadline(s) will be entered into the associated drawing and all subsequent
drawings whether or not your ticket stub has been mailed to you. Your numbered ticket receipt(s) will be emailed to you after your check or
credit card is processed if an email is provided. Your numbered ticket receipt(s) will be mailed to you after your check or credit card is
processed if no email address is provided or if a mailed ticket receipt is requested. Although it may take four weeks before you receive your
receipt(s) via mail, the raffle ticket(s) with matching numbers will be placed in the official drum for the drawings. ALL SALES ARE FINAL.
NO REFUNDS. Only 55,000 tickets will be sold. Must be 18 years or older to enter.
Void where prohibited. Raffle subject to rules and regulations found on milehighraffle.com. If fewer than 50,000 tickets are sold the grand prize
will become a cash amount equal to half the net proceeds, not to exceed $2 million. License #2016-10239.
© 2016 Boys & Girls Clubs of Metro Denver. All rights reserved.