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| WIN A HARLEY DAVIDSON Grand Prize: 2002 Harley Dyna Super Glide FXD (Purchased from Jim's Harley Davidson - Mendon, OH CLICK THE PRINT BUTTON ON YOUR BROWSER |
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| 2nd Prize: $750.00 Cash 3rd Prize: $350.00 Cash 4th Prize: $150.00 Cash |
| 5th Prize: Child's Wood Motorcycle Rocker 6th Prize: Wood Eagle Sculpture 7th Prize: Fire Dept. Throw |
| NAME: ________________________________ NAME: ____________________________________ ADDRESS: _____________________________ ADDRESS: _________________________________ CITY/STATE/ZIP: _______________________ CITY/STATE/ZIP: ___________________________ PHONE: _______________________________ PHONE: ___________________________________ AMOUNT ENCLOSED: __________________ AMOUNT ENCLOSED: _______________________ |
| NAME: ________________________________ NAME: ____________________________________ ADDRESS: _____________________________ ADDRESS: _________________________________ CITY/STATE/ZIP: _______________________ CITY/STATE/ZIP: ___________________________ PHONE: _______________________________ PHONE: ___________________________________ AMOUNT ENCLOSED: __________________ AMOUNT ENCLOSED: _______________________ |
| NAME: ________________________________ NAME: ____________________________________ ADDRESS: _____________________________ ADDRESS: _________________________________ CITY/STATE/ZIP: _______________________ CITY/STATE/ZIP: ___________________________ PHONE: _______________________________ PHONE: ___________________________________ AMOUNT ENCLOSED: __________________ AMOUNT ENCLOSED: _______________________ |
| MAIL TO: IAFF LOCAL 3633 - HARLEY RAFFLE P.O. BOX 761 ST. MARYS, OHIO 45885 |