BIA Build Your Dream Raffle Ticket Commitment Form | Building Industry Association of Lancaster County

Once we receive your completed Raffle Ticket Commitment Form, an invoice will be emailed to you for the tickets. Upon receipt of your payment*, your tickets will be emailed to you or (mailed to your address upon request). *Per PA state laws payment must be in the form of cash or check. Checks: payable to BIA of Lancaster SGOC License # 20250003/Special Raffle Permit # 2025S0001

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Name

First

Last

Phone

would Did you

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

How many tickets would you like?

Tickets are $75 each

Total amount to be invoiced.

Number of tickets x $75 each.

Did a person or company tell you about the Raffle? If so, please include their name below.

Raffle Details