Ticket Order Form
USA Residents Only

Tickets for the 2007 Harley Davidson Superglide drawing are $10 Each
and may be ordered by printing this form and mailing your check or money order to:

Dover Tornado Give Away
1512 Oak St
Dover, OH 44622
ATTN: Superglide Drawing

Phone: (330) 343-6758

Please include a SASE (Self Addressed Stamped Envelope) so we can send you your tickets.

One winner will be drawn on Friday, October 26, 2007 at the Dover / New Phila Football Game
You do not need to be present to win.

This is a fundraising event with proceeds benefiting Dover School Athletics. Only one prize will be awarded. Winning entry shall be selected by a random drawing on October 26, 2007 at the Dover / New Phila Football Game. You need not be present to win. Unless otherwise prohibited, acceptance of prize constitutes permission to use winners’ name, likeness and address (city and state), for advertising and publicity purposes for this or similar promotions, without further compensation.  This raffle is for the motorcycle or $10,000 Cash; winner is responsible for any and all registration and shipping fees as well as any and all local, state, and federal taxes and/or fees.


2007 SuperGlide® FXD Drawing

Full Name: ___________________________________________  Area Code & Phone:__________________

Street Address or P.O. Box: _________________________________________________________________

City: _____________________________________________ State: ______ Zip Code: _________________

Email Address: _____________________________________________________________________

Please send me __________ tickets at $10 each

q Enclosed is my check / money order made payable to: Dover Tornado Club

in the amount of $______________