Lake Harvey Association
Ice Out Tickets
First Name
Last Name
Email
Phone #
Possible Winner Info!
Past Winning Dates
Format
mm/dd/yyyy
24 Hour
4:30 = 16:30
Date
Time
How is your
Luck at predicting
Ice Out
01
02
Fill in as many
Date / Time pairs
as you would like to guess!
03
$2.00 per chance!
04
Your Total for
Dates Submitted!
Donation
05
06
07
08
09
10