English
2023 Wall of Wine
Raffle Ticket Order Form
Lottery License Number
M857932
Contact Information
Select Options for number of tickets to purchase after completing registration.
Optional: Do you have a ClubRunner login?
User Name
:
Password
:
New and existing users: retrieve username and/or reset password
Your Information
First Name
:
Last Name
:
Email
:
Preferred Phone
:
Address 1
:
Address 2
:
City
:
Zip/Postal Code
:
State/Province
:
Club Name
:
I consent to the collection, storage, and use of my information by Rotary Club of Picton as described in this
Privacy Policy
. I understand that I may receive emails regarding this event and other relevant information, and can opt out at any time.
Select Options