Ticket Order Form for 2021 Honda Civic LX Drawing

Tickets $25 each. Buy 4 Get 1 Free!

Complete the form below for your chance to win a 2021 Honda Civic LX.

Drawing will take place at Patty Peck Honda on June 23, 2021. Winner need not be present to win!

Your donation supports the children's programs of the Diabetes Foundation of Mississippi including Camp Kandu- Mississippi's only camp for children with diabetes and their families.

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Contact Information
Order Summary
  • 11/28/21
Credit Card Information
  • Card Type
  • MMYY

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