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IHM Anniversary Raffle

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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street address: REQUIRED Please fill out this field. Please enter valid data.
  
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  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Choose the amount of tickets you would like: 1 for $2.00 or 3 for $5.00.
  
  How many single Tickets would you like? REQUIRED
  How many single tickets?
  Please fill out this field.
  
  Single ticket 1
  
  Price per single ticket2.0
  
  Single ticket 2
  
  Price per single ticket2.0
  
  Single ticket 3
  
  Price per single ticket2.0
  
  Single ticket 4
  
  Price per single ticket2.0
  
  Single ticket 5
  
  Price per single ticket2.0
  
  Single ticket 6
  
  Price per single ticket2.0
  
  Single ticket 7
  
  Price per single ticket2.0
  
  Single ticket 8
  
  Price per single ticket2.0
  
  Single ticket 9
  
  Price per single ticket2.0
  
  Single ticket 10
  
  Price per single ticket2.0
  
  How many Tickets would you like? REQUIRED
  How many tickets (in 3's)?
  Please fill out this field.
  
  Price for 3 tickets 1
  
  Price for 3 tickets5.0
  
  Price for 3 tickets 2
  
  Price for 3 tickets5.0
  
  Price for 3 tickets 3
  
  Price for 3 tickets5.0
  
  Price for 3 tickets 4
  
  Price for 3 tickets5.0
  
  Price for 3 tickets 5
  
  Price for 3 tickets5.0
  
  Price for 3 tickets 6
  
  Price for 3 tickets5.0
  
  Price for 3 tickets 7
  
  Price for 3 tickets5.0
  
  Price for 3 tickets 8
  
  Price for 3 tickets5.0
  
  Price for 3 tickets 9
  
  Price for 3 tickets5.0
  
  Price for 3 tickets 10
  
  Price for 3 tickets5.0
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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Saint Anthony Chapel 1700 Harpster Street Pittsburgh, PA 15212 (412) 999-4401	Immaculate Heart of Mary 3058 Brereton Street Pittsburgh, PA 15219 (412) 621-5170	Most Holy Name of Jesus 1700 Harpster Street Pittsburgh, PA 15212 (412) 231-2994
Saint Nicholas 24 Maryland Avenue Pittsburgh, PA 15209 (412) 821-3438	Saint Patrick 1711 Liberty Avenue Pittsburgh, PA 15222 (412) 471-4767	Saint Stanislaus Kostka 57 21st Street Pittsburgh, PA 15222 (412) 471-4767