Fields marked * require an entry.

Mosta Madness Order Form

Package Name	Amount	Quantity	Subtotal
RAFFLE TICKETS - Prizes: 1st: $10,000 . 2nd: $5,000 . 3rd: $2,500 . 4th: $1,000 . 5th: $500 . 6th-10th: $250 -

1 FOR $10	$10.00		$0.00



3 FOR $25	$25.00		$0.00


UNDERWRITE
Package Name	Amount	Quantity	Subtotal

SAINT	$200.00		$0.00



ANGEL	$100.00		$0.00



GOLDEN	$50.00		$0.00



SILVER	$25.00		$0.00


BUSINESS OR HAPPY AD (Please email your FULL-COLOR ad to luttrell@shg.org)
Package Name	Amount	Quantity	Subtotal

FULL PAGE AD (7.5"x10.5")	$135.00		$0.00



HALF PAGE AD (8"x5")	$85.00		$0.00



QUARTER PAGE AD (4"x5")	$60.00		$0.00


VIRTUAL TRIVIA NIGHT - SATURDAY, MARCH 6th @ 7 p.m.
Package Name	Amount	Quantity	Subtotal

TRIVIA NIGHT (individual or team)	$25.00		$0.00

I am unable to participate in Mosta Madness 2021 but would love to contribute!:

Total:

$0.00