1 Year Membership to the
Southwestern Michigan Home Builders Association!!

You could be the winner of a 1 year paid membership to the SWMHBA! A $425.00 value. Tickets are $20.00 and the winner will be drawn on December 10, 2008 during the SWMHBA Christmas Party.

Single raffle ticket $20.00. Please enter quantity of tickets and shipping information below.

Quantity of Tickets

    E-mail address 
         Full Name 
           Address 
                   
              City  
    State/Province 
ZIP or Postal Code  
           Country 
 Daytime Telephone  
 Evening Telephone  

SHIPPING ADDRESS (if different from above):
         Full Name 
           Address 
                   
              City  
    State/Province 
ZIP or Postal Code  
           Country 

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Your order will be e-mailed to us. We believe your credit information is probably safer than it might be if you handed your card to a waiter or service station attendant, or gave it over your wireless or cellular phone.

Name on Credit Card
Type VISA MasterCard
Number
Expires Security Code

Please place any special shipping instructions in the box below. Shipping charges of $0.41 will be added to your order.


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