Night of Fashion 2023 Raffle TicketsName(Required) First Last Address(Required) Street Address City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) How many raffle tickets would you like to buy Quantity(Required) Price: $100.00 Quantity Total How would you like to pay?(Required) Credit Card VenmoFollowing the submission of this form, please Venmo your total to @MotherofGod. Include your name, sponsorship or number of tickets, and phone number.Credit Card(Required)American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name