The Bash Raffle Ticket Purchase Form

Please enter the following information if you would like to purchase a raffle ticket(s).

(* = required field)

Contact Information
Registration Information

Bash Raffle Tickets

  • Tickets are $25 each
  • 5 for $100
  • 30 for $500
  • 70 for $1,000
Payment Information

Please click your credit card type below *

(No Dashes or Spaces)

By entering your credit card information and clicking "Submit", you authorize Easter Seals of Greater Houston to charge your credit card according to the amount specified above.

** This raffle ticket form is not intended for solicitation of donors outside the Easter Seals service area.

We do not store credit card information or share donor information.

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