Order Form

Split the Pot
Split the Pot Split the Pot - 1 Entry for $72 $ 72.00
Split the Pot Split the Pot - 5 Entries for $180 $ 180.00
Split the Pot Split the Pot - 54 Entries for $1,000 $ 1,000.00
Win the Jackpot
Win the Jackpot Win the Jackpot - 1 Ticket for $26 $ 26.00
Win the Jackpot Win the Jackpot - 5 Tickets for $72 $ 72.00
Win the Jackpot Win the Jackpot - 12 Tickets for $144 $ 144.00
Win the Jackpot Win the Jackpot - 30 Tickets for $260 $ 260.00
Discount Packages
Discount Packages Discount Packages - $180 - Get one entry in each prize - Early Bird - Double Tickets $ 180.00
Discount Packages Discount Packages - $300 - Get two entries in each prize - Early Bird - Double Tickets $ 300.00
Discount Packages Discount Packages - $500 - Get five entries in each prize - Early Bird - Double Tickets $ 500.00
Discount Packages Discount Packages - $1,000 - Get twelve entries in each prize - Early Bird - Double Tickets $ 1,000.00
Discount Packages Discount Packages - $100 - Get one entry in family prizes only - Early Bird - Double Tickets $ 100.00
Prize Packages
Family $72 Family $72 - Early Bird - Double Tickets $ 72.00
Family $54 Family $54 - Early Bird - Double Tickets $ 54.00
Family $36 Family $36 - Early Bird - Double Tickets $ 36.00
Family $26 Family $26 - Early Bird - Double Tickets $ 26.00
Women $36 Women $36 - Early Bird - Double Tickets $ 36.00
Women $26 Women $26 - Early Bird - Double Tickets $ 26.00
Men $36 Men $36 - Early Bird - Double Tickets $ 36.00
Men $26 Men $26 - Early Bird - Double Tickets $ 26.00
Teens $18 Teens $18 - Early Bird - Double Tickets $ 18.00
Kids $10 Kids $10 - Early Bird - Double Tickets $ 10.00