Order Form


You will no longer submit an electronic order on-line. Instead you should print the order form below, complete all applicable information and send your completed order form along with your check or money order for your total ticket(s) purchased to:

Drive Against Diabetes, Inc.
7017 Meadowlark Court
North Tonawanda, NY 14120

Upon receipt of your completed order form and payment, we will send you your ticket(s).

This new process is being adopted because in the last few raffles we have had an increased number of tickets that are ordered but never paid for and we are left with unsold/ unpaid tickets reducing the proceeds available to donate to JDRF and other worthy causes.

To ensure that payment is received for all tickets sold this year, we will require that a check or money order is received before we send you your ticket stub. If you have any questions or concerns, please do not hesitate to contact us by email at driveagainstdiabetes@roadrunner.com or call us toll free at 1-866-432-3366.

To order , please click on the D.A.D. Order Form link below and print your order form. Please make sure the order form is legible, especially address and phone number.

Please just be sure to indicate which raffle you are purchasing tickets for and how many you would like.

We will do our best to accommodate your request but please keep in mind that this is only based on availability and does NOT guarantee any of your choices will be sent to you. The closer we get to the raffle, the less tickets that remain. If none of your choices are available we will select your ticket at random from the numbers remaining.

  Contact Us:
By Email:  
By Phone:
Please allow for a few days for us to respond to you, Drive Against Diabetes, Inc. is a small group of all volunteers so it may take a day or two for us to respond but we will get back to you to discuss any questions/ concerns you have.
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