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INFLUX RAFFLE REGISTRATION:

Each month, Influx Community Cares Foundation does a FREE Raffle that is meant to help us connect with new people within our community, while continuing our mission to Educate, Equip, or Empower individuals for success in their Life, their Finances, their Business, and their Careers.


Thank you for your interest in this month's FREE raffle!


To help us get more insight into the lives of those we get to serve, we ask that you please complete our short raffle registration form to be considered for this raffle. Once completed, please follow the instructions on the confirmation page, and you will be entered to WIN our upcoming raffle.


We Draw and Announce Raffle Winners Every 2nd Monday, at Noon, from our Influx Community Cares Foundation's Facebook Page.


Please be sure to LIKE & Follow our page to stay tuned.


Click Here to visit our website and learn more about who we are and what we do!

Multi-line address

Enter in this format: 1-555-555-5555

Birthday
Month
Day
Year
Which of the following best describes you? (Select One)
Asian or Pacific Islander
Black or African American
Hispanic or Latino
Native American or Alaskan Native
White or Caucasian
Multiracial or Biracial
Other
Which of the following best describes your current marital status? (Select One)
I am Single
I am Married
I am Separated
I am Divorced
I am Widowed

Example: Unemployed, Sales, Customer Service, Childcare, Manufacturing, etc

Which of the following best describes your current household income?
Unemployed / Disabled
$1,000 - $11,999 per year
$12,000 - $49,999 per year
$50,000 - $99,999 per year
$100,000 - $149,999 per year
$150,000 + per year
Do you have school ages kids who currently live with you?
No, I have no Kids
Yes, I have 1-Kid
Yes, I have 2-Kids
Yes, I have 3-Kids
Yes, I have 4+ Kids
Would you like to donate towards future raffles and/or community support we offer to Educate, Equip, and Empower youth & young adults in our community?
$10
$20
$30

You will be prompted to pay after you press SUBMIT...

Contact Us

Influx Community Cares Foundation is a non-profit organization dedicated to improving underprivileged communities. Our mission is to provide access to education, healthcare, and basic necessities to those in need. With the help of our dedicated volunteers and generous donors, we will make a positive impact in the lives of many individuals and families. Join us in our efforts to create impact in our communities. 

Thanks for submitting!

ADDRESS

204 E Arlington Blvd. Ste C

Greenville, NC 27858

PHONE

EMAIL

252.689.8454

info@influxcommunitycares.org

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