Reclaim Your Brain

2011 RAFFLE TICKET ORDER FORM
WIN A MERCEDES-BENZ!!!

GRAND PRIZE: 2011 E350 Cabriolet
The all-new 2011 E-Class Cabriolet has all of the safety, performance, and comfort features you’d expect in the E-Class Coupe are delivered in an open-air experience. The E-Class Cabriolet is engineered for the optimal top-down experience for all seasons of driving, and comfort for four. The E-Cabriolet top can be raised/lowered within 20 seconds and can be operated at driving speeds of up to 25mph. Comes standard with AIRCAP to make open-top driving comfortable and quiet. The E-Class Cabriolet is engineered with the safety of an E-Class, including nine airbags, AGILITY CONTROL suspension, ATTENTION ASSIST drowsiness monitor, seat-belt protectors and roll over protection. The E-Class embodies the Mercedes-Benz core values: Innovation, Safety, Authenticity, Substance, Comfort/Luxury, Style and Performance.
MSRP: $57,725

FIRST PRIZE: 2011 C300 Sport Sedan
Introducing a vehicle that restores the fun in driving and your faith in what a sport sedan can be. The 2011 C-Sport. Its aggressively bold looks are matched by an aggressively bold yet efficient V-6 engine, while its AGILITY CONTROL suspension can read the road and adapt to your driving style for better handling feedback and stability. It’s the Mercedes-Benz sport sedan that makes the competition start all over.
MSRP: $34,865
Only 6,000 Tickets Printed!! Ticket cost = $100
Chances of winning are 1 : 3000. Ticket holder need not be present to win.

YES! I would like ________ raffle ticket(s) ($100 each) for a total of $__________

I heard about the Raffle from Team In Training Participant___________Sarah E Cole______________________(Participant Name)

Participant Event_________________________Marine Corps historic half Marathon__________________________________(Participant Event)
Name ____________________________________________________________________________________
(Buyer Name)
Address _________________________________________________________________________________

City ________________________________________ State _________ Zip_____________________

Phone _________________________________________ Fax___________________________________

E-mail ________________________________________________________________________________

 My enclosed check is payable to The Leukemia & Lymphoma Society.
 Please charge my credit card in the amount of $____________.
 VISA  MasterCard  AMEX  Discover  Diner’s Club
Card # _______________________________________ Exp. Date___________ V Code ________

Name on card _____________________________________________________________________________

Signature ____________________________________________________________________________

Please fax back to 703-399-2901 or mail with payment to:
The Leukemia & Lymphoma Society
5845 Richmond Highway, Suite 800
Alexandria, VA 22303
Attn: TNT/LB Raffle