Perrywood Raffle Prize Requests

Perrywood form for a raffle prize (our normal prize is a £15 Perrywood gift card).

    Raffle prize request

    Name of individual making request*:

    Name of charity/organisation*:

    Address of charity/organisation*:

    Status of organisation benefitting from raffle*:

    charitynot-for-profit organisationeducational institutionlocal club or associationother – please state below

    If you Ticked Other Please Complete:

    Please include charity number if relevant:

    Contact number*:

    Email address*:

    Date of event:

    Details of event and where the monies raised will go*: