To purchase a SOMO 50/50 Raffle Ticket, please complete the information on the form below, and mail with payment  information (VISA, American Express, and Mastercard are the only credit cards that we can accept). Checks should be made out to SOMO or to Special Olympics MD - Montgomery). Please make sure that all information is printed clearly so that we can mail you your authenticated, numbered Raffle Ticket ! You may also purchase raffle tickets on our website: www.somdmontgomery.org at our SOMO store!

     The Prize Drawing is August 25th at our Montgomery Masters Golf Event at Montgomery Country Club , Laytonsville ,MD. If you wish to join us at this event, check out event details on our website www.somdmontgomery.org. You can gather a foursome and  join us for a day of golf, purchase a ticket for dinner, or come just for the exciting prize drawing at 7:30.

Go to www.somdmontgomery.org—SOMO Store and purchase your 50/50 Raffle Ticket with a credit card or

Mail your Raffle ticket form to:

Special Olympics MD—Montgomery

 PO Box 1809—Rockville—MD—20849

ACT NOW! Great Prizes and a great GIFT to our athletes!

Ticket purchases must be received by August 23rd to be processed.

Raffle details and online purchase as well as information about our programs and our Montgomery Masters Golf Event is available at www.somdmontgomery.org

Contact Area Director Pam Yerg at jeyclan@verizon.net

SOMO Representative:

TICKET # _______

To be completed by

Area Director upon       verification

of purchase

Special Olympics MD-Montgomery

PO box 1809

Rockville MD 20849

www.

somdmontgomery.org

 

 

CASH:_____    CHECK # ____________            

CC: ________________________________________________________ CODE:_________________ EXPIRATION DATE: ___________________

 

NAME ON CARD:_____________________________________________

Signature: ____________________________________________________________

Upon  verification of payment you will receive an authenticated raffle ticket with ticket #.  Please provide all of the following information so that we can contact you.

Name:_______________________________________________________

 

Phone numbers :(_____)_______________/ (_______)______________

 

Address:_____________________________________________________

 

City:____________________________ State: ______ Zip code:________

 

Email: ________________________________________@__________________________