Great Greenback


	*Great Greenback Giveaway*

Henry Hiteman Engine And Hose Company, Inc.

$10,000

Grand Prize!


	West Winfield Fire Department PO Box 158, West Main Street West Winfield, NY 13491-0158

Prizes

20:1

Odds


	Application for West Winfield Fire Department’s


	Great Greenback Giveaway


	Max. 1,000 tickets to be sold at $50.00 each. If less than 1,000 tickets are sold, prizes equal to 55% of ticket receipts are awarded as follows:


			1^st Prize $10,000.00 = 20% of available prize money

		2^nd Prize $ 5,000.00 = 10% of available prize money

		3^rd Prize $ 2,500.00 = 5% of available prize money

		2 Prizes $ 1,000.00 each = 2% of available prize money

		5 Prizes $ 500.00 each = 1% of available prize money

		5 Prizes $ 250.00 each = 0.5% of available prize money

	15 Prizes $ 150.00 each = 0.3% of available prize money

	20 Prizes $ 100.00 each = 0.2% of available prize money

Drawing Sunday, July 8, 2012, at 3:00 PM at the Winfield Town Park, Route 20 West Winfield.

Use an application form for each ticket which may be paid using cash, check made payable to Henry Hiteman Engine and Hose Co., Inc., Visa, Master Card, and PayPal are accepted. Mail completed application form to: West Winfield Fire Department

Attn: Great Greenback Giveaway

PO Box 158, West Main Street

West Winfield, NY 13491-0158


	Ticket sales will end PROMPTLY at 2:00 PM on the day of the drawing.

The drawing will begin with the 50^th prize and continue on to the 1^st prize. Each winning ticket will be thrown back into the drum so you can win more than once on the same ticket.

Requests for special or lucky numbers will be honored on a first come, first served basis.

Members of the West Winfield Fire Department are eligible to purchase tickets and you do not have to be present to win. Purchasers must be 18 years of age. Taxes will be withheld on some of the prizes.

Multiple names are allowed on tickets, but the primary contact should be listed first.

Call (315) 822-6223 with questions or for information updates.


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	ALL TICKETS WILL BE MAILED TO YOU

Name: _____________________________________________	Name: _____________________________________________
Address: ___________________________________________	Address: ___________________________________________
___________________________________________	___________________________________________
City: _______________________ ST: _____ Zip: ___________	City: _______________________ ST: _____ Zip: ___________
Phone: _____________________________________________	Phone: _____________________________________________
Email: _____________________________________________	Email: _____________________________________________
Ticket # Choices (if avaliable): ___________ _______________	Ticket # Choices (if avaliable): ___________ _______________


	List multiple names on back of application if more space is required.


	Or purchase securely online via: