Colorado Raffles
Managed by the Rocky Mountain Bighorn Society

Name:___________________________________________________________________________________

Address:_________________________________________________________________________________

City/State/Zip:____________________________________________________________________________

Phone Number: __________________________________________________________________________

Method of Payment: __ VISA debit card __ MasterCard debit card __ Check __ Money Order

Debit Card Number:_______________________________________________________________________

Expiration Date: ___________________________________________ Security No.:___________________

Send self addressed stamped envelope, remittance, and this form to:

RMBS - 2010 Raffles
P.O. Box 8320
Denver, CO 80201-8320

Raffle is open to residents and non-residents, including outside the U.S. Remit payment in U.S. funds by debit card, check or money order via mail or cash in person. All sales are final. There will be no refunds. Order must be received by April 16, 2010 to allow time for processing. Public drawing will be April 24, 2010. You do not need to be present to win. Raffle licenses may NOT be traded, sold or transferred. You must be 18 years of age or older to enter drawing.