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8th Santa Barbara Million Dollar Home Raffle 2012 ENTRY FORM Win an Ocean View Santa Barbara Home or $1,000,000 Dollars Early Bird & Bonus Prize Drawings - Enter to Win additional prizes Enter by February 23 and be eligible for $63,000 in extra cash and prizes Enter by March 22 and be eligible for $40,000 in bonus cash and prizes 7 - $1 million dollar winners in 7 years! Will you be our 8th Lucky All tickets including winning tickets from Early Bird, Bonus & Multi-Ticket drawings will also be entered in the Final & Grand Prize drawings. Need not be present to win. Grand Prize Winner? Three Multi-Ticket Drawings! Buy 2 or more tickets and be eligible to win $167,000 in prizes Enter by February 23: 1st prize: 2012 Mercedes Benz C-Class lease or $15,000; 2nd prize: SB Vacation retreat or $2,500; plus $2,000 Nordstrom gift cards or $1,500 Enter by March 22: 1st prize: Cuba Arts Travel, SB Vacation or $5,000; plus $1,500 Nordstrom gift cards or $1,000 cash + more Enter by Apr 19:1st prize:2012 BMW 5-Series lease or $15,000; 2nd prize: Santa Barbara Vacation Retreat or $10,000; plus $2,000 Nordstom gift cards or $1,500 Refer a Friend Drawing: 1st Prize: $10,000 ($5,000 + $5,000) + Apple iPads & Nordstom gift cards, too! Buy a ticket and get a friend to buy one to be eligible for this exclusive drawing. When you win, your friend wins too! To qualify, the referring party’s name must I was referred by this friend: ____________________________________ be provided at time of purchase. For more information visit: www.sbcaf.org Only 19,000 tickets will be issued. Nearly $200,000 in additional prizes awarded! To order your raffle ticket(s) complete this form & choose one of the following: Fax: 805.884.0494 Phone: 805.884.5900 CAF PO Box 1199, Santa Barbara, CA 93102 Name 1 __________________________________________________ Date __________________ Name 2*_________________________________ Name 3*_____________________________ *Note: Additional parties on ticket will be responsible for any income tax obligations as a result of prize winnings Number of tickets___________ x $150 per ticket = Total amount ________________ yes no I purchased in past years I have already purchased ticket(s) this year 2012 Type of payment: Check yes no Money order payable to ‘CAF Home Raffle’ (check #________________) MasterCard Visa Amex Discover Credit Card #: ____________ - ____________ - ____________- ____________ Exp Date: __________ Security Code: _________ (MC/V/Disc.-last 3 digits on the back of card in the signature line, Amex- 4 digits on front) Billing/Mailing Address:_______________________________________________ Street Address ___________ Apt. # City________________________________________________ State___________ Zip _______________ Phone 1________________________________ Email______________________________________ Raffle to Benefit Santa Barbara Contemporary Arts Forum and the Teacher’s Fund Phone 2 __________________________________ CAF raffle membership, complimentary with ticket purchase. Referral Agent: David Kim _________________________________ VP.TF Raffle benefits Santa Barbara Contemporary Arts Forum, a 501(c)3 non-profit and is registered with the California Attorney General’s Office - #R- 2251 Must be US resident, 18 years or older to enter. Raffle subject to official rules & regulation. Void where prohibited.