Raffle "*" indicates required fields Name* First Last Bought For (optional) Bought For Email (optional) Phone (optional)Anonymous* Yes No Email* Company (optional) Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Donation Amount (optional)Select amount$0.00$5.00$10.00$20.00$25.00$30.00$40.00$50.00$60.00$70.00$75.00$80.00$90.00$100.00$150.00$200.00$250.00$300.00CustomDonation Amount (optional) NoteTotal NameThis field is for validation purposes and should be left unchanged. Loading entries... The Society of St. Bartimaeus has been awarded Silver participant status by Guidestar Exchange. We are a 501 (c)3 nonprofit charitable organization. Our Federal tax ID is 85-1857831
