Motorcycle/Cash Raffle Entry

This raffle is for a 600 series sport bike or $10,000.00 cash (instead of bike).
The models to choose from are: 2009 CBR 600 RR, Yamaha YZF R6, 2009 Suzuki GSXR 600, and 2009 Kawasaki ZX 6R.
Winner to choose model and color of bike (see rules for complete model details and options).
All proceeds from the raffle will benefit a local Ohio 501(c)(3) non-profit organization called Citizens of Perrysburg Safety Education.
Please log onto www.copseducation.com for more information about the organization and the complete raffle rules (email at copseducation@yahoo.com or call 419-654-0944).
Tickets are $20.00 and only 850 tickets will be sold (see rules for complete details). Raffle drawling on October 30, 2009 (or when 850 tickets have been sold).

CLIP AND SEND ENTRY FORM TO ADDRESS LISTED BELOW (PLEASE PRINT).

FIRST NAME: ________________________________ LAST NAME: __________________________________________
ADDRESS: _______________________________________________________ CITY: ___________________________
STATE: _____________________________ ZIP: ___________________ TELEPHONE: __________________________
E-MAIL: _________________________________________________________________________________________
MAKE CHECK OR MONEY ORDER PAYABLE TO: CITIZENS OF PERRYSBURG SAFETY EDUCATION
NO. OF TICKETS: ___________ (AT $20.00 PER TICKET) AMOUNT ENCLOSED: $ ______________________________
CREDIT CARD #: _____________________________________________ VISA MASTERCARD DISCOVER AMERICAN EXPRESS JCB
EXPIRATION DATE: ________________________________________

MAIL TO: CITIZENS OF PERRYSBURG SAFETY EDUCATION, 27210 FORT MEIGS ROAD, PERRYSBURG, OHIO, 43551.

(YOU CAN PRINT THIS ENTRY FORM OR I CAN EMAIL YOU A COPY OF THE ENTRY FORM)

Citizens of Perrysburg Safety Education