TOYOTA CAMRY HYBRID RAFFLE ORDER FORM
Benefiting California State Parks Foundation
Raffle drawing to take place on Saturday, June 6, 2015. Winner need not be present to win.
Complete and mail this form to:
Or fax to:
(415) 772-8969
CSPF Toyota Raffle
50 Francisco Street, Suite 110
San Francisco, CA 94133
Order by phone:
(855) 558-1161
The depiction of vehicle is for marketing and promotional purposes and may not reflect the actual vehicle delivered to the winner.
Purchase Options
_____________ Single tickets / $100 each .....................................
Single Ticket Total: $ __________________
_____________ 6-Pack / $500 each ..............................................
6-Pack Ticket Total: $ __________________
Total Purchase: $ __________________
Payment
Check Enclosed (please make payable to California State Parks Foundation)
Please charge my (check one): VISA
MASTERCARD
AMERICAN EXPRESS
DISCOVER
Name on Credit Card: __________________________________________ Phone Number: _________________________
Card Number: ________________________________________________ CVV Security Code: ______________
(last three numbers back of credit card, or
Expiration Date: __________________four digits on the front of American Express)
Billing Address: ___________________________________________________________________________
City: _________________________
State: _________
Zip: ____________________
Signature: _____________________________________________________
Contact Information
Name to Appear on Ticket: __________________________________________
Email Address: ___________________________________________________________________
Phone Number (if different from billing): ______________________________________________
Mailing Address for Ticket (if different from billing): _____________________________________________________________
City: ______________________________
State: ______________
Zip: ______________________
How did you hear about our raffle? ___________________________________________________________________________
Park Partner Code, if applicable: _____________________________________________________________________________
For more information, please visit: calparks.org/raffle
*Your numbered ticket receipt(s) will be mailed to you after your check or credit card is processed and will take approximately 7-10 business days. The raffle ticket(s) with matching number(s) will be placed in the official drum for drawings. Mail, fax, and phone orders received by June 3, 2015 will be entered
in the drawing whether or not stubs have been mailed. Tickets may be purchased in person up until the drawing on June 6, 2015. Please note that during
the drawing we call names, not numbers. All sales are final. No refunds. Need not be present to win. Participants must be 18 years of age or older as of
April 1, 2015, be an individual legally residing in California, and be a licensed driver. Raffle subject to official rules & regulations at calparks.org/raffle.