100001 100001
_______________ Dari Pemilik/Pemegang kendaraan yang _______________ Dari Pemilik/Pemegang kendaraan yang
diparkirkan di kawasan area Tol Cisumdawu diparkirkan di kawasan area Tol Cisumdawu
RP. 2.000,/ jalan pasirmalang terusan pamarisen. 5.000,- jalan pasirmalang terusan pamarisen.
5.000,-
R2/R4 No.Pol :……………………. R2/R4 No.Pol :…………………….
0001 0002
100001 100001
WINNER NEED NOT BE PRESENT TO WIN
_______________ Dari Pemilik/Pemegang kendaraan yang _______________ Dari Pemilik/Pemegang kendaraan yang
diparkirkan di kawasan area Tol Cisumdawu diparkirkan di kawasan area Tol Cisumdawu
RP. 2.000,/ jalan pasirmalang terusan pamarisen. 5.000,- jalan pasirmalang terusan pamarisen.
5.000,-
R2/R4 No.Pol :……………………. R2/R4 No.Pol :…………………….
0001 0003
100001 100001
WINNER NEED NOT BE PRESENT TO WIN
_______________ Dari Pemilik/Pemegang kendaraan yang _______________ Dari Pemilik/Pemegang kendaraan yang
diparkirkan di kawasan area Tol Cisumdawu diparkirkan di kawasan area Tol Cisumdawu
RP. 2.000,/ jalan pasirmalang terusan pamarisen. 5.000,- jalan pasirmalang terusan pamarisen.
5.000,-
R2/R4 No.Pol :……………………. R2/R4 No.Pol :…………………….
1001 1001 1002 1002
RAFFLE RAFFLE
Donation $5.00
Donation $5.00
Address: Address:
_______________ 1ST PRIZE TV _______________ 1ST PRIZE TV
_______________ 2ND PRIZE DVD PLAYER _______________ 2ND PRIZE DVD PLAYER
3RD PRIZE MP3 PLAYER 3RD PRIZE MP3 PLAYER
Phone: Phone:
[ Y O U R O R G A N I Z AT I O N ] [ Y O U R O R G A N I Z AT I O N ]
_______________ Annual Fundraiser _______________ Annual Fundraiser
September 17, 2006 September 17, 2006
RAFFLE RAFFLE
WINNER NEED NOT BE PRESENT TO WIN
Donation $5.00
Donation $5.00
Address: Address:
_______________ 1ST PRIZE TV _______________ 1ST PRIZE TV
_______________ 2ND PRIZE DVD PLAYER _______________ 2ND PRIZE DVD PLAYER
3RD PRIZE MP3 PLAYER 3RD PRIZE MP3 PLAYER
Phone: Phone:
[ Y O U R O R G A N I Z AT I O N ] [ Y O U R O R G A N I Z AT I O N ]
_______________ Annual Fundraiser _______________ Annual Fundraiser
September 17, 2006 September 17, 2006
RAFFLE RAFFLE
WINNER NEED NOT BE PRESENT TO WIN
Donation $5.00
Donation $5.00
Address: Address:
_______________ 1ST PRIZE TV _______________ 1ST PRIZE TV
_______________ 2ND PRIZE DVD PLAYER _______________ 2ND PRIZE DVD PLAYER
3RD PRIZE MP3 PLAYER 3RD PRIZE MP3 PLAYER
Phone: Phone:
[ Y O U R O R G A N I Z AT I O N ] [ Y O U R O R G A N I Z AT I O N ]
_______________ Annual Fundraiser _______________ Annual Fundraiser
September 17, 2006 September 17, 2006