WIN AN ORIGINAL
A.E. BACKUS PAINTING
GRAND PRIZE
“Florida Wetland”
Dated 1968 (20” x 24”)
(Valued at $25,000)
TWO 1ST PRIZES!
$225 Gift Certificates for
Backus Museum Merchandise
FIVE 2ND PRIZES!
$75 Gift Certificates for
Backus Museum Merchandise
TEN 3RD PRIZES
$50 Gift Certificates for
Backus Museum Merchandise
ORDER FORM
#______________________________Raffle Tickets for a total of $___________________________
($20 each, 3 for $50 or 6 for $100)
Please add an additional gift (tax deductible) of  $10  $20 $50  Other________________
Total $______________________________
Name_____________________________________________________________________________
Mailing Address____________________________________________________________________
City____________________________________________ State_________ Zip Code____________
Email Address_____________________________________________________________________
Phone No._________________________________________________________________________
 Check Enclosed  Visa  MC  AMEX  Discover
#___________________________________________________________________ Exp. Date:_____/_____
Mail Form to:
A.E. Backus Museum
500 North Indian River Drive
Fort Pierce, FL 34950
You may also call 772-465-0630 to order by phone.
Raffle ticket stubs will be mailed.
The winning tickets will be announced at 12:30 Sunday, March 04, 2012 at the Museum’s A.E. Backus Brunch. You need not be present to win. Donation: $20 per ticket, only
2,500 tickets will be available. Rules for drawing are on display at the Museum at 500 North Indian River Dr. Fort Pierce, FL 34950.