Enter and Possibly Win a 2009 Toyota Prius!!!
Drawing Date: Thursday, July 16, 2009
Magnussen’s Toyota of Palo Alto,
Reception: 6:30, Drawing: 7:30 p.m.

Entries for the drawing are $50 each. Please enter the number of entries (do not include free entry for the "special deal" if purchasing $200 worth) and provide your contact information below. Click continue to complete your purchase.

Number of Entries:

@ $50.00 per entry

Name:

Email:

Address:

City:

State:

Zip:

Daytime Phone:

By clicking Continue, you will be taken to Paypal where you can securely pay for your entry for the 2009 Toyota Prius Car Give-Away.

Or you may print this form and mail it with your check to:
The Lupus Foundation of Northern California
2635 North First Street, Suite #206
San Jose, CA 95134-2032

Thank you for supporting the Toyota Prius 2009 fundraiser of the Lupus Foundation of Northern California.