Perrywood Raffle Prize Requests

Perrywood forms for raffle prizes, plants and products:

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*:

Our normal raffle prize is a £10 Perrywood gift voucher. Other plants or products are provided occasionally. Please tick which you would be happy to receive*.

£10 Perrywood Gift VoucherOther - Please State Below:

If you Ticked Other Please Complete: