AGIFMHC Raffle Report Form
Date of Raffle
MM
/
DD
/
YYYY
Name of person holding raffle
Your answer
Purpose of Raffle
Your answer
Name of committee holding raffle
Your answer
Type of Raffle
Raffles Gross Receipts
Your answer
Wining Ticket #
Your answer
Cash Amount Paid Out
Your answer
Description of Raffles Merchandise Prizes:
Your answer
Retail Value of Raffles Merchandise Prizes:
Your answer
Actual cost of raffles merchandise prizes:
Your answer
Amount paid for raffle expenses
Your answer
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