Dedham Country Day School

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

Total:

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Student name ( only one name ) who sold tickets

Grade of student

Name of person to be entered into the raffle

Phone number of person entered into raffle

This transaction will include processing fees.

Your card will be charged $ USD.

DCD Fair-May 17, 2024