Rotary Club of Fenelon Falls Classic Car Draw
Please fill in the order form for tickets on the 1970 Dodge Challenger 440 SIX-PACK
Be advised that the Rotary Club does not provide your information to any third party contacts
Thank you for your support.
Are you a new or existing customer?
How many tickets would you would like to order? *
Your answer
Amount to be charged *
Your answer
Credit card number *
Your answer
Expiry Date *
Your answer
V Code (back of card) *
Your answer
Contact info
Your name *
Your answer
Address: Street number and name *
Your answer
Address: City & Province (State) *
Your answer
Address: Postal Code (ZIP) *
Your answer
Phone number (Home) *
Your answer
Phone number (Cell) *
Your answer
E-mail
Your answer
Request Stubs be sent via *
Required
Questions and comments
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service