Prize #1 Form
This is the form for you to enter in our first raffle!

The first prize form will be available from Friday January 1st to Saturday January 16th. A winner will be contacted shortly after the end date.

Only 1 Entry per Teen with valid Port Jeff Free Library Card.
Email address *
Prize #1
Full Name *
Library Barcode *
Grade *
Phone Number to Contact You! *
Submit
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This form was created inside of Port Jefferson Free Library - YA.