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Library Raffle Entry Form

 
$

Donation Options:
(i) $18-$35 (1) entry ticket each in 1st and 2nd Prize Drawings.
(ii) $36-$64 (1) entry ticket each in Grand, 1st and 2nd Prize Drawings.
(iii) $65-$89 (2) entry tickets each in the Grand, 1st and 2nd Prize Drawings.
(iv) $90-$179 (3) entry tickets each in the Grand, 1st and 2nd Prize Drawings.
(v) $180 and up (7) entry tickets each in the Grand, 1st and 2nd Prize Drawings.

Your Information
*First Name:  
*Last Name:  
*Email Address:    
*Address:  
Address 2:
*City:  
*State:  
*Zip:  
*Phone: () -
 


By donating I affirm that I have read and agree to the rules and conditions of this contest.

No purchase necessary to enter. To enter without purchase contact the JLE at 323-857-0923 or 512 N. La Brea Ave., Los Angeles, CA 90036
 
* denotes required field

This website was dedicated by Mr. & Mrs. Sheldon Czapnik, Rabbi Yossi Czapnik, and Rabbi & Mrs. Avrohom Czapnik for the elevation of the souls of their parents R' Yissochor Dov ben R' Yaakov and Chana bas R' Shalom, of blessed memory.
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