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Raffle Entry Form

RAFFLE EXTENDED!

Congratulations to Frances Cobbler, Dan Hoevet Sr. and Stephen Ibach,
our three Grand Prize winners!

To enter our raffle drawing, please fill out the brief entry form below.

Each Friday, we'll randomly select one entry to win a Refreshable Brailler Keychain (from Independent Living Aids).

To enter, just fill out the short form below...
Keep checking back here for a list of winners!

WINNERS
Grand Prize Winner #1: Dan Hoevet Sr., Omaha, NE
Grand Prize Winner #2: Stephen Ibach, Sellersville, PA
Grand Prize Winner #3: Frances Cobbler, Burlington, NC

May 6: Brenda Rosales, Van Nuys, CA
May 13: Lenard Spicak, Tucson, AZ
May 20: Ida de la Garza, San Antonio, TX
May 27: Hans Watson, Taylorsville, UT
June 3: Warren Hardy, Marcus Hook, PA
June 10: Jackie Shepherd, Salem, OR
June 17: Donna Barrett, Tulsa, OK
June 24: Gerri Taylor, Charleroi, PA
July 1: Elizabeth Slaughter, Bemidji, MN
July 8: Emilee Hite, Waynesboro, VA
July 15: Susan Dickerson, Fresno, CA
July 29: Michelle Benedetto, Newtown, PA
Aug. 5: Steven Smith, Albany, OR
Aug. 12: Gary Weller, Nelsonville, OH
Aug. 19: Mary Jo Chiswell, Richmond Heights, OH
Aug. 26: Alexander Grigalus-Kern, College Park, MD
Sept. 2: Matt Horn, Greenup, KY

Only one entry per person is allowed. You only have to enter once to be eligible for all the drawings. Winners will be notified via email.

Items marked with an asterisk ('*') are required.

Your Information

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