Click the


​Please click the ticket above or the raffle form button below to print out the form and use any of the following methods.

  • Mail completed form to:           Jazzy Human Services​

            38834 Hilldale St.

            Clinton Twp., MI. 48036

  • Fax form to:

             (586) 263-3165

  • Scan & Email form to:​

  • Order by phone

             (586) 484-4223

Purchase Tickets

Online Credit Card Entry Form Only

​​Optional Purchase Methods 

Tickets: $30 each