Complete all required fields before submission.

First Name:

Last Name:

Email:

Phone Number:

Address:

Division: Select Division Port of Spain Western Central Southern South Western Northern North Central Eastern North Eastern Tobago

Are you a Teacher, Principal, or PTA Member? No Yes (Personal Address Must Be Provided)

Organization Name (if applicable):

Total Amount to be Raised:

Total Value of Each Sheet or Card:

Breakdown of How Money Will Be Spent:

Raffle Purpose:

Event Date:

Ticket Price:

Expected Revenue:

Letter to Commissioner of Police:

Proof of Funds (Bank Statement, Estimates, etc.):

Sample of Donation Cards/Sheets:

Banking Information (Must be in Organization/School Name):

Other Supporting Documents (Multiple Uploads Allowed):

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