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CANCER SUPPORT COMMUNITY
Take a chance to win half of the total donations for the Sparkle Raffle. We will fill out raffle ticket(s) for you and put your contact information in the drawing. You will be contacted by phone or email if your ticket/ name has been selected as the winner. The drawing will be taking place October 5th at the Paws4Life Dog Walk. You do not need to be present to win. Take a chance!! Please complete the below form to process your Sparkle Raffle Ticket(s) We appreciate your support to the community we serve. The 4% merchant fee will be added to your donation since we are a nonprofit. This additional fee you will be paying will allow us to provide additional services to families facing a cancer diagnosis. If you do not want to pay the fee, you may also send in a check to Cancer Support Community Greater Philadelphia (CSCGP), 200 Kirk Rd, Warminster, PA 18974. Put in Note: SPARKLE RAFFLE. Thank you again for your support.
Sparkle 30 Tickets for $100
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$104.00
Email
Phone
Shipping Address
Address
Address
City
State or Territory
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
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Washington
West Virginia
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American Samoa
District of Columbia
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
Virgin Islands
ZIP Code
Card Details
Cardholder Name
Credit Card Number
Expiration Date
CVV
Billing Address
Same as shipping address
Address
Address
City
State or Territory
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
District of Columbia
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
Virgin Islands
ZIP Code
Total
$104.00
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