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Request Packet

Request Packet

Want to ensure that you receive the PATRIOTISM & PURPOSE raffle packet in the mail? Please complete the form below before June 17, 2020 to request your entry tickets..

Membership ID #
If applicable
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email
Consent*
I would like a Department of Florida Raffle package mailed to me.
Florida Resident*
I am a resident within the state of Florida.
Phone
This field is for validation purposes and should be left unchanged.