378 - Lake Lifestyle Lottery ticket order form

LOT T E RY
LOTTERY #378
Live the lakeside lifestyle and support people with a disability to have the choices of an ordinary life
#378 - Lake Lifestyle Lottery ticket order form
Buy your tickets in this lottery
Qty or
Tick R Ticket bundle of
Pre-order tickets in future lotteries
Qty or
Tick R Ticket bundle of
Price
30 tickets
14 tickets
10 tickets
4 tickets
2 tickets
1 ticket
$100
$60
$50
$30
$20
$10
$ Total Amount (AUD)________________
Buy gift tickets in this lottery
Charged to credit card at the beginning of each lottery or prepay.
Qty or
Tick R Ticket bundle of
Price
30 tickets
14 tickets
10 tickets
4 tickets
2 tickets
1 ticket
$100
$60
$50
$30
$20
$10
Price
30 tickets
14 tickets
10 tickets
4 tickets
2 tickets
1 ticket
$10,000 bonus draw every lottery! Hassle-free
buying in as many lotteries as you like! Opt out at
any time.
$100
$60
$50
$30
$20
$10
$ Total Amount (AUD)________________
To
Address
How many lotteries would you like to pre-order?
until further notice (tick R) OR
_________ (Qty)
Postcode
Message
$ Total Amount
if prepaying (AUD)__________________________
Buy by 20 March to
win a $2,000 Caltex
fuel card!
Buy online - win an
Apple iPad mini
Start the New Year with the latest gadget
from Apple. Buy your tickets online in this
lottery and go into the draw to win the new
iPad mini, plus an iTunes gift card.
at the house
1800 63 40 40
endeavourlotteries.com.au
by mail
VALUE $1,099
(see postal address below)
YOUR DETAILS
Title
LOT T E RY
PAYMENT
First name
Surname
Address
Cheque / money order enclosed
Total $
(Please include donation if applicable)
Credit Card type
(made payable to Endeavour Foundation)
Master Card
Visa
Credit Card payment
Amex
Card number
Phone
Postcode
Expiry date
/
CSV
(the 3 or 4-digit number found on the back of credit card)
Card holder’s name
Email
Card holder’s signature
I would like to make a donation of $_______________________
Endeavour Foundation is PCI/DSS compliant protecting your credit card details.
ABN 80 009 670 704. QLD Licence No. 29762. ACT Permit No. ACT R12/00380. VIC Permit No. 11285/12.
Easy ticket ordering
Mail to: Endeavour Foundation, PO Box 3578, Tingalpa DC Qld 4173, Australia.
Aust. phone 1800 63 40 40 | Aust. fax 1800 62 40 09 | NZ phone 0800 44 22 35 | Int. phone + 617 3908 7295 | Int. fax + 617 3908 7158
Closes 10am EST Wednesday 3 April 2013 Drawn 11am EST Wednesday 10 April 2013