The Friends Cash Raffle – Purchase Tickets Purchase Tickets Number of tickets:*12345Note: • Tickets are $100 Each • Non-Tax-Deductible Donation • Tickets Available to United States Residents Only • Only One Ticket May be Purchased at a Time if Using Payroll DeductionTotal:Name:* Prefix Mr.Mrs.MissMs.Dr.Prof.Rev. First Last Address:* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code Email Address:* Phone Number:*How did you hear about the raffle?*BillboardTVEmailFriendNewspaperFacebookSchoolOtherPlease specify where you heard about the raffle:*At which school did you hear about the raffle?*5Th And 6Th Grade CenterA. J. Martin ElementaryAdvance ElementaryAlma Schrader ElementaryAltenburg ElementaryBell City ElementaryBernie ElementaryBismarck R-V ElementaryBlanchard ElementaryBloomfield ElementaryBloomsdale ElementaryBootheel SchoolCape Christian SchoolCentral ElementaryCentral ElementaryCentral MiddleChaffee ElementaryClearwater ElementaryClippard ElementaryCrowley Ridge SchoolDeer Creek Christian AcademyDelta C-7 ElementaryDelta ElementaryDiagnostic CenterEarly Child. Special Ed. CenterEarly Childhood CenterEugene Field ElementaryFisk ElementaryFranklin ElementaryFredericktown ElementaryFredericktown IntermediateGideon ElementaryGordonville Attendance CenterGreenville ElementaryGuardian Angel SchoolHillview ElementaryHolcomb ElementaryImmaculate Conception SchoolImmaculate Conception SchoolImmanuel Lutheran SchoolIntermediate SchoolJefferson ElementaryJefferson ElementaryJuvenile CenterJuvenile Detention CenterKelso ElementaryKennett Christian AcademyLake Road ElementaryLee Hunter ElementaryLeopold ElementaryLilbourn ElementaryLincoln IntermediateMarquand ElementaryMatthews ElementaryMatthews ElementaryMeadow Heights ElementaryMillersville Attendance CenterNeelyville ElementaryNell Holcomb ElementaryNew Dawn SchoolNew Madrid ElementaryNew Salem Baptist AcademyNorth County Parkside ElementaryNorth County PrimaryNorth ElementaryOak Grove ElementaryOak Ridge ElementaryOak View Learning CenterO'Neal ElementaryOran Elementary SchoolOrchard Drive ElementaryParkview SchoolPemiscot Co. R-Iii ElementaryPerryville ElementaryPoplar Bluff 5Th 6Th CenterPoplar Bluff Early Childhood CenterPoplar Bluff Kindergarten CenterPortageville ElementaryPuxico ElementaryQulin ElementaryR. A. Doyle ElementaryRichland ElementaryRisco ElementaryRoosevelt ElementaryRoss ElementarySacred Heart SchoolSacred Heart SchoolScott City ElementaryScott Co. Central ElementaryScott Co. ElementarySenath-Hornersville Elementary SchoolShady Grove SchoolSikeston Kindergarten CenterSouth ElementarySouth Pemiscot ElementarySoutheast ElementarySoutheast Missouri Christian AcademySouthland ElementarySouthwest ElementarySpecial Acres SchoolSt Agnes Catholic Elementary SchoolSt Ambrose SchoolSt Augustine SchoolSt Denis SchoolSt Eustachius Elementary SchoolSt Francis Xavier SchoolSt Henry Catholic SchoolSt Joseph Elementary SchoolSt Joseph Elementary SchoolSt Joseph SchoolSt Joseph SchoolSt Mary Cathedral SchoolSt Paul Lutheran SchoolSt Paul Lutheran SchoolSt Teresa SchoolSt Vincent De Paul Elementary SchoolSt Vincent Elementary School (Pk-6)Ste. Genevieve ElementaryThe Christian AcademyTrinity Lutheran SchoolTruman KindergartenUnited In Christ Lutheran SchoolValle Catholic SchoolsVictory Baptist AcademyWarren E. Hearnes ElementaryWashington-Franklin ElementaryWest County ElementaryWest ElementaryWest Lane ElementaryWestwood Baptist AcademyWilliamsville ElementaryWoodland ElementaryZalma ElementaryPayment Method:*CashCheckCredit CardPayroll DeductionNote on the Credit Card Payment Option: • After submitting this form, you will be redirected to the Foundation Contribution form where you can enter your credit card information to complete your order.Notes on the Payroll Deduction Payment Option: • Available Only to Saint Francis Healthcare Colleagues • Only One Ticket May be Purchased at a Time if Using This Payment OptionSaint Francis Employee Number:*Payroll Deduction Option:*One-time Deduction of $100Two Deductions of $50 EachFour Deductions of $25 EachMay the Saint Francis Foundation contact you at the address above?*YesNoTicket Number 1:Ticket Number 2:Ticket Number 3:Ticket Number 4:Ticket Number 5:CAPTCHAAdditional Information: All prize drawings subject to The Friends Cash Raffle rules. Grand prize drawing will be held Saturday, March 9, 2019, during The Friends Gala. You do not need to be present to win. For a full list of drawing dates and rules, please visit www.thefriendsgala.org. All proceeds will benefit Saint Francis Healthcare System Foundation GoNoodle Children's Fund.