Wufoo

FNC Taste of Chocolate Challenge

Pre-order form for for raffle of one carat diamond and/or Carnival cruise for two.
A limited number of chances are available for each drawing, so order today!

Name First Last
Number of stones you wish to purchase (each stone is $10.00)

If you are unable to attend the event, one of our board members will have your stones drawn and tested on your behalf.
Number of cruise raffle tickets you wish to purchase (each chance is $5.00)
If you are the winner, what is the best number to call to let you know? ### - ### - ####
We will call you from the event if you are a winner of either the cruise or the diamond! The winner of the diamond will be responsible to pick it up in person or pay for insured delivery to their payment address.
Your email address in case we have any questions about your order:
Your payment method:
I am submitting a check payable to Family Nurturing Center (1221 King St. Jax., FL 32204) Please call me to accept my credit card payment
Select One:
I plan to attend the event, please have my items ready at the will-call desk. I cannot make the event, please enter my cruise chances and draw stones on my behalf.

If you are attending the event and need to purchase a ticket, you can order tickets online from our homepage at www.fncflorida.org

Tickets are $30 each or two for $50, and each ticket includes one entry in the Carnival cruise raffle.
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