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MEN'S CLUB FOOTBALL POOL

For a $20 contribution, you will have a chance to win each week during the entire football season (17 weeks).

After you place your order for tickets, the Men''s Club will send you ticket(s) with two numbers on them. The numbers represent different teams each week. If your two teams score the highest points for that week, you win $150. If your two teams score the lowest total points for the week, you win $50. There is no payout if the ticket with the winning combination is not sold.

We will mail the checks to the winning ticket holders.

* First Name

* Last Name

* Address

* City

* State

* Zip Code

* Email Address

You may enter up to 4 addresses where to where your tickets wil be sent. If you leave all these addresses empty, the tickets will be sent to the address entered at the top of the form.

Ticket #1 Name

Ticket #1 Address

Ticket #1 City

Ticket #1 State

Ticket #1 Zip

Ticket #2 Name

Ticket #2 Address

Ticket #2 City

Ticket #2 State

Ticket #2 Zip

Ticket #3 Name

Ticket #3 Address

Ticket #3 City

Ticket #3 State

Ticket #3 Zip

Ticket #4 Name

Ticket #4 Address

Ticket #4 City

Ticket #4 State

Ticket #4 Zip

* Number of tickets @ $20

Total Amount Due

Sat, February 16 2019
11 Adar I 5779

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Sat, February 16 2019 11 Adar I 5779