ALERT

You MUST complete payment for your submission to be valid. If you leave prior to payment - your submission is VOID

MAINE STYX Field Hockey Fundraiser

Purchaser's First Name

If you are purchasing for someone - please list their name so we can contact them if they win a raffle giveaway.

Purchaser's Last Name

Phone

Player

Select the player you are purchasing a raffle ticket from.

For independent purchase - select "No Player." Your purchase will go towards the Scholarship Fund.

Raffle Tickets

1 Raffle Ticket$10

3 Raffle Tickets$25

Service Fee (optional)

Only select this option if you would like to cover the service fee that would otherwise deducted from the player's return and/or the scholarship fund total.

Comments

YOU MUST MAKE PAYMENT FOR YOUR PARTICIPATION TO BE VALID.

IF PAYMENT IS NOT MADE FUNDS WILL NOT BE DISTRIBUTED TO THE PLAYER AND YOU WILL NOT BE ENTERED IN THE RAFFLE.