Lower Mountain
Fork River Foundation
Thanks You for
Participating in our
Raffle
Winning Ticket will be drawn October 18
PLEASE PRINT THIS PAGE AND
MAIL ALONG WITH CHECK MADE PAYABLE TO:
L.M.F.R.
Route 4, Box 27-1
Broken Bow, OK 74728
| Full Name: | Name |
| Address: |
Address Address2 City, State Zip |
| Phone: | Phone |
| Cell: | Cell |
| E-Mail: | |
| Quantity: | Quantity |
| Paying By: | Check |
Once we receive this form and your
check,
your raffle tickets will be sent to the address you have entered on this form