Please join us for the very first Georgia Healthy Family Alliance $10,000 Draw Down on Friday, November 14th from 5:00pm to 7:00pm during the GAFP Annual Scientific Assembly at the Westin Buckhead.
This brand new event is like a raffle in reverse! Purchase your tickets using the form below to be entered into the Draw Down. At the Draw Down on Friday night, we will begin to draw tickets. If you’re ticket is drawn, you are out of the running for the $10,000, but you may still win one of our additional prizes! However, if you purchased a ticket with insurance and yours is one of the first 50 tickets drawn, your ticket goes back in for a second chance. You have the option to split the winnings if you have one of the last 4, 3, or 2 tickets left, or you can go for the $10,000 grand prize!
Draw Down Raffle Ticket Order Form
Cell Phone__________________________ Email:________________________________
_____ Draw Down Ticket (s) @$50 each
_____ Draw Down Ticket(s) w/ *Insurance @ $75 each
(*If ticket is one of the first 50 drawn, it will be returned to Draw Down barrel for a second chance)
( ) Cash
( ) Check payable to Georgia Healthy Family Alliance
( ) Credit Card ___________________________________ Billing Zip___________
Expiration __________________ V-CODE ______________________________
Please check all that apply (even if you plan to attend)
_____If my name is one of the last 4 names remaining and the other 3 remaining names agree, I wish to split the $10,000 four ways winning $2,500.
_____If my name is one of the last 3 names remaining and the other 2 remaining names agree, I wish to split the $10,000 three ways winning $3,333.33.
_____If my name is one of the last 2 names remaining and the other remaining name agrees, I wish to split the $10,000 two ways winning $5,000.
I do not wish to split at any level.
_____If I win I would like to donate $_____ to the Georgia Healthy Family Alliance
I am planning to attend. I cannot attend.
GHFA 3760 LaVista Road, Ste. 100 Tucker, GA 30084 ~ Georgia Raffle License No. 2007024