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* 1. Name

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* 3. Phone Number

At the Pot Luck there will be a raffle for various gift baskets assembled by Ellen and the community. Raffle tickets will be for sale at the event, but anyone bringing a Pot Luck dish will receive 5 complimentary raffle tickets.

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* 4. What kind of dish will you be bringing?

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* 5. What is the name of the dish you're bringing?

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