Print this form KSHN Club Cart Raffle

 

 

 

 

To request your raffle ticket simply complete the following information, enclose a check for the correct amount and mail to :

KSHN

PO Box 4087

Frankfort, KY 40604-4087

 

Name:  ________________________________

 

Mailing address:

 

Street or PO Box   _________________

City    ___________________________

            State   ____________

            Zip      ____________            

 

Phone Number:  (______) ______________________

 

Number of Ticket Requested:  _________

 

Amount Enclosed  $ ___________      Check Number: ____________