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