Dedham Country Day School

	Cost	Quantity	Price
1 Raffle Ticket 1 raffle ticket	$5.00	– 0 +	---
pack of 10 raffle tickets 10 raffle tickets	$50.00	– 0 +	---
pack of 20 raffle tickets 20 raffle tickets	$100.00	– 0 +	---

Total:

---

Student name (only one name) who sold tickets

Grade of student

Name of person to be entered into raffle

Phone number of person entered into raffle

This transaction will include processing fees.

Your card will be charged $ USD.

DCD Fair-May 16, 2025