Create Account Information

* Home Email

Name

Prefix:

First:

Middle:

Last:

Suffix:

* Company Name (if not associated with a company, enter "N/A")

* By checking this box, I confirm I am a current Ohio Resident and agree with all Raffle Rules and Regulations.

Items marked with an asterisk(*) are required

Web envelope does not exist and no pledge can be added.

Verification code

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Please select the "Confirm" button only once! Once selected, the "Confirm" button will change to "Processing", and in a few moments the confirmation page will display.