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Home » Lottery Ticket Order Form

Lottery Ticket Order Form

Complete this form and we will contact you in person to receive the payment information. We accept VISA, MasterCard, AMEX or DISCOVER.

All mailed ticket requests must be received by June 17, 2016 for the Early Bird Draw, and by September 12, 2016 for the Final Draw. Official ticket(s) will follow by mail or email.

Tax receipts cannot be issued for lottery ticket purchases.

Only 12,000 tickets will be sold.

  • Tickets you would like to purchase

  • Price: $ 20.00 CAD
  • Price: $ 50.00 CAD
  • Please enter the $ amount.
  • $ 0.00 CAD
  • Purchaser's Information

    * Required fields