Ronko’s Big Money Game Fundraiser 2025

TICKET ORDER/RESERVATION FORM

Indicates Required Field

Purchaser Name: One name per ticket. One ticket is good for 2 attendees.
Purchaser Address: Please provide FULL address. Will be used to mail winnings.
Date of Birth: Used to ensure purchaser is above 18 years of age.
Do you have a preferred number? : Select yes or no		Select Below Yes No
Preferred Ticket Number: If Yes, Enter a 3 digit preferred number from 002-299
Second choice: If your preferred number is not available add a second choice between 002-299. If not available an available number will be assigned at random.
Email Address: Please provide an email address
Phone number: Please provide your phone number
Permission: By checking this box you give a representative of the Ronkonkoma Fire Department permission to contact you about this purchase via phone, text, or email to provide information or arrange/obtain payment.		I agree and give permission
Thank You For Your Support!!!

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