Raffle 1: Self Care Indulgence BasketRaf1-Indulgence Single Ticket QuantitySingle Ticket Price: $10.00 Quantity Raf1-Indulgence Three Ticket Pack QuantityThree-ticket pack Price: $25.00 Quantity Raffle 2: Wall Quilt by ElderRaf2-Quilt Single Ticket QuantitySingle Ticket Price: $10.00 Quantity Raf2-Quilt Three Ticket Pack QuantityThree-ticket Pack Price: $25.00 Quantity Raffle 3: Charcuterie for TwoRaf3-Charcuterie Single Ticket QuantitySingle Ticket Price: $10.00 Quantity Raf3-Charcuterie Three-Ticket Pack QuantityThree-ticket Pack Price: $25.00 Quantity Raffle 4: TeatimeRaf4-Teatime Single Ticket QuantitySingle Ticket Price: $10.00 Quantity Raf4-Teatime Three-ticket Pack QuantityThree-ticket Pack Price: $25.00 Quantity Raffle 5: Coffee StationRaf5-Coffee Single Ticket QuantitySingle Ticket Price: $10.00 Quantity Raf5-Coffee Three-ticket Pack QuantityThree-ticket Pack Price: $25.00 Quantity Raffle 6: Breakfast in BedRaf6-Breakfast Single Ticket QuantitySingle Ticket Price: $10.00 Quantity Raf6-Breakfast Three-ticket Pack QuantityThree-ticket Pack Price: $25.00 Quantity Raffle 7: Rocket Roger ClemonsRaf7-Clemons Single Ticket QuantitySingle Ticket Price: $10.00 Quantity Raf7-Clemons Three-ticket Pack QuantityThree-ticket Pack Price: $25.00 Quantity Raffle 8: Blue Star MassageRaf8 – Massage Single Ticket QuantitySingle Ticket Price: $10.00 Quantity Raf8 – Massage Three-ticket Pack QuantityThree-ticket Pack Price: $25.00 Quantity Raffle 9: Obrien Ceramics HeartRaf9-Heart Single Ticket QuantitySingle Ticket Price: $10.00 Quantity Raf9-Heart Three-ticket Pack QuantityThree-ticket Pack Price: $25.00 Quantity Raffle 10: Adia Barnes Signed BasketballRaf10-Basketball Single Ticket QuantitySingle Ticket Price: $10.00 Quantity Raf10-Basketball Three-ticket Pack QuantityThree-ticket Pack Price: $25.00 Quantity Raffle 11: Dinner for FourRaf11-Dinner Single Ticket QuantitySingle Ticket Price: $10.00 Quantity Raf11-Dinner Three-ticket Pack QuantityThree-ticket Pack Price: $25.00 Quantity Tickets SubtotalContact InformationYour Name(Required) First Last Email(Required) Phone(Required)Mailing Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Payment InformationCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Billing Address(Required) Same as Mailing Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Card Processing Fees Yes! I would like to help defray St. Luke’s card processing fees. Card Service Fees Price: $0.00 Total
