Heritage Centers :: Foundation

Raffle Ticket Order Form

Complete the form below to purchase raffle tickets
for a 6-night trip to Rome, Italy.

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Phone:

Email Address:

Tickets ($25 each):

Total:

$25

Prize includes airfare and 6-night hotel accommodations for two at Aldrovandi Villa Borghese.

Tickets $25 each.
Drawing to be held October 11, 2012 at the Corks & Forks event.

Click here for more information

Proceeds benefit individuals with disabilities served by Heritage Centers