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CAPA PAC Raffle
CAPA PAC
Donations to the CAPA PAC are not tax-deductible as charitable contributions for federal income tax purposes. Voluntary donations to the CAPA PAC are not limited by amount. Donations may be made only by PERSONAL CREDIT CARD. If you have trouble after you have entered all the required fields, please contact Jennifer Cook at jcook@carolinaasphalt.org.
First Name
Last Name
Company
Address
City
State
Email
Phone
Fax
Employer
Occupation
How many entries would you like?
Please indicate who you purchased your raffle tickets from in the field below:
Amount
choose one
1 entry - $100
2 entries - $200
3 entries - $300
4 entries - $400
5 entries - $500
6 entries - $600
7 entries - $700
8 entries - $800
9 entries - $900
10 entries - $1,000
11 entries - $1,100
12 entries - $1,200
13 entries - $1,300
14 entries - $1,400
15 entries - $1,500
16 entries - $1,600
17 entries - $1,700
18 entries - $1,800
19 entries - $1,900
20 entries - $2,000
21 entries - $2,100
22 entries - $2,200
23 entries - $2,300
24 entries - $2,400
25 entries - $2,500
PLEASE NOTE: All PAC contributions must be from a personal credit card, all corporate or business contributions are prohibited by state law.
I certify that this contribution will be from a personal credit card:
Initial Here
- denotes required fields
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