ChicaGO Safety & Sustainability Conference Raffle
January 21, 2016, Donald E. Stephens Convention Center, Rosemont, Illinois
50/50 Raffle supporting the EA Education Foundation Scholarship Program
— Grand Prize of $10,000 awarded* —
1 Ticket for $25 (or) 5 Tickets for $100
* Must be present to win the entire amount at the conference. Drawing will take place at 5:30pm on
January 21, 2016 at the conference. If winner is not present, half of the prize amount will be awarded.
Open to US Residents. Only 1,000 tickets sold! If less than 1,000 tickets are sold then the total prize amount will be adjusted accordingly to 50%.
By submitting this electronic
form, I authorize the Electric Association to charge
the appropriate amount to the above credit
card for my tickets(s) for the ChicaGO Safety & Sustainability Conference Raffle (all prices are in
(if submitted in printed form)
17W733 Butterfield Road, Suite B
Oakbrook Terrace, Illinois 60181
(630) 305-3050 phone
(630) 305-3056 fax
Email Carrie Spaeth or Amy Kasser
for further information.
If you prefer not to register online,
please print and sign this page, and
fax it to the EA at: (630) 305-3056.