Louis Vuitton
Raffle

Louis Vuitton Handbag
Raffle Ticket Order Form




Date: Thursday, September 18, 2014
Time: 11:00 a.m. - Reception and Raffle
12:00 p.m. - Lunch and Fashion Show
Location:Horseshoe Casino


I would like to purchase raffle tickets for the Louis Vuitton handbag - $25 for 1 or $100 per 5.
(Select one):

Total:

Name: First: Last:
Address:
Address 2:
City:
State:
Zip:
Country:
Phone #:
Email Address:


Payment:
to be mailed in the amount of $ .
Check made payable to 'Dress for Success Cincinnati'.
my credit card in the amount of $ by using PayPal.

Billing:
Name:
Address:
City:
State:
Zip:
Country:
Phone Number:
Email Address:




Submit Form by September 12, 2014
Fax to DfSC: (513) 651-3376
OR
Mail To:
Dress for Success Cincinnati
205 West 4th Street, Suite 900
Cincinnati, Ohio 45202

Payment Method: