A Night at the Riviera: Raffle Form

Donor Name(Required)

Raffle Solicitor Name(Required)

Donor Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Donor Phone Number(Required)

Donor Email(Required)

Donor Item

Approx Value

Donation Description(Required)

For any questions please contact Raffle Chair, Jennifer Winters at WJCGala@wjcenter.org. Raffle items must be received at WJC by May 21, 2023. All contributions are tax deductible as permitted by law.

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A Night at the Riviera: Raffle Form

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