Fill in each field in the form below.
Verify the information
Click on Submit when finished.
This will take you to the PayPal page
And send us the information.
You will receive a success or an error message when you submit the form. If you get an "error" message, refresh the page and try again. All fields are required to be filled.
A copy of your ticket will be texted or e-mailed to you.
A live drawing will be held on Facebook.
Quantity of Tickets
Thank you for helping to support the Lions Club activities in La Farge!