Red Wings Charity Night

Name *

First

Last

Email *

Phone Number *

Address *

City, State, Zip *

Number of Tickets ($70 each) - Each ticket purchased will be entered into two drawings: first for a Zamboni ride, followed by a drawing for a signed hockey puck. The drawings will be held on January 12. Winners will be contacted by email, and you will also receive an official email from the Detroit Red Wings with additional details. *

Number of T-Shirts ($20 each)

Shirt Sizes (Youth S/M/L Adult S/M/L/XL/XXL/XXXL)

of will you

Pickup Location *

Troy - GT Jerseys, 997 Rochester rd
Lapeer - 4846 Sullivan Rd
Mail (+ $7)

Method of Payment *

Check payable to Patti Waldrup, 4846 Sullivan Rd, Lapeer, MI 48446
Venmo @Patti-Waldrup (last 4 of phone 0513)