HeadWise HeadWise: Volume 6, Issue 3 | Page 39

$ 25,000 Raffle

$ 100 per ticket

Only 500 tickets printed

2nd Prize - Pearl stud earrings ($ 1,000 value ) 3rd Prize - $ 500 gift card to Saks Fifth Avenue
Support the NHF and its education and research programs by your purchase of a raffle ticket .
Winner announced at A Night at the Museum on May 20 , 2017
Winner need not be present to win
NATIONAL HEADACHE FOUNDATION RAFFLE OFFICIAL RULES
The winning tickets will be drawn and announced at the NHF 31st Annual Fundraising Benefit , A Night at the Museum , on Saturday , May 20 , 2017 . The winner need not be present to win . Winners will win $ 25,000 main prize , pearl stud earrings ($ 1,000 value ) for second prize , or $ 500 gift card for Saks Fifth Avenue for third prize . You must indicate your full name , address and daytime telephone number . Accepted forms of payment are credit card , check or money order for $ 100 per ticket made payable to the National Headache Foundation . ( Credit cards accepted are AmEx , Discover , MC and VISA ). The NHF is not responsible for lost , late , stolen , incomplete , illegible , inaccurate , undelivered , delayed , or misdirected entries . The NHF reserves the right , in its sole discretion , to modify or terminate this raffle in the event of any act , occurrence , or reason that it believes would corrupt the integrity , administration , or fairness of the raffle . By participating in the raffle , participants agree to release , discharge , and hold harmless NHF , its respective parents , affiliates , subsidiaries , advertising and promotion agencies , and other individuals engaged in the development or execution of this raffle , from any liability , claims , losses , and damages arising out of or relating to their participation in this raffle or the acceptance , use , misuse , or possession of any prize received in this Raffle .
Eligibility : You must be 18 years or older to purchase a raffle ticket and a resident of the United States . Only one ( 1 ) individual may be identified as the purchaser of a raffle ticket . Federal , state and local laws and regulations apply . Void where prohibited . All purchases are final and non-refundable . By entering the raffle , the ticket purchaser acknowledges that he / she is aware of , and agrees , with the Raffle Official Rules .

Payment Form

________________________________________________ Name
________________________________________________ Address
Drawing : A maximum of 500 tickets will be sold . All entries must be RECEIVED by 5:00pm CT on Friday , May 19 , 2017 . In the event there are remaining tickets that have not been sold , they will be available for purchase at the NHF ’ s Benefit , A Night at the Museum , to be held at The Drake on Saturday , May 20 , 2017 until 30 minutes prior to the random drawing that will occur at or about 10:00pm CT .
Mail : NHF , 1235-A Clybourn Ave ., Box 413 , Chicago , IL 60610 Email : info @ headaches . org | Fax : ( 312 ) 640-9049
Taxes : The winner is solely responsible for all state and local costs and charges . The winner is also responsible for any and all federal , state and local income or excise taxes , fees , assessments and like charges associated with the prize . The IRS has taken the position that amounts paid for chances to participate in raffles , lotteries or similar programs are not gifts and , therefore , the price of the ticket does not qualify as a deductible charitable contribution .
Enclosed payment for ______ ticket ( s ) at $ 100 each = $ _______
Method of Payment :
� Check � Money Order � AmEx � Discover � MC � VISA
( payable to National Headache Foundation )
________________________________________________ City / State / Zip
________________________________________________ Phone
______________________________________________________
Credit Card #
______________________________________________________
Exp Date Security Code
______________________________________________________
Name on Card Signature
OR Call 1-888-NHF-5552 to reserve your ticket
________________________________________________ Email www . headaches . org | National Headache Foundation 39
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