Ronald McDonald House Houston - Raffle Ticket Form

How to Help Ronald McDonald House Houston

make a donation

Friday, January 30, 2009 at the Hilton Americas
Benefiting
Ronald McDonald House of Houston

Prom Night Raffle Ticket Form

Personal Information

Title (Mr., Mrs., Ms.)

First Name

Middle Initial

Last Name

Suffix (Jr., Sr., III)

Company

Address

City

State

Zip

Day Phone

Evening Phone


Ticket Information
Number of Tickets at $100.00 = Total Amount $

Payment Information
Enclosed is my check payable to Ronald McDonald House of Houston for $ which is the total cost for the raffle tickets I am purchasing.
I would like to charge $ which is the total cost for the raffle tickets I am purchasing.
Credit Card Type
Credit Card Number
Expiration Date
Name as it appears on credit card

Once you submit your information, you will see a "Form Confirmation" page. You will also receive an acknowledgement in the mail within 14 days. If you are unsure that your form was submitted, please email the Webmaster.

By entering your credit card information and clicking "Process My Donation," you authorize the Ronald McDonald House of Houston to charge your credit card according to the amount you specified.

*This raffle ticket form is not intended for solicitation of donors outside the State of Texas.


If you prefer, you may print this page and fax it to:
	Ronald McDonald House Houston 713.795.3557
Or, you may print this form and mail it to:
	Ronald McDonald House Houston 1907 Holcombe Boulevard Houston, Texas 77030
If you would prefer to mail the form and enclose a check, the check should be made payable to the Ronald McDonald House Houston.

For more information about making a donation to the Ronald McDonald House please contact the Special Events Coordinator at 713.795.3585.

Ronald McDonald House of Houston is a 501(c)(3) organization. Contributions are tax-deductible to the fullest extent of the law.