MARIANHILL INC. Long-Term Care and Community Support Services 600 Cecelia Street, Pembroke, Ontario K8A 7Z3 (613) 735-6838 Fax: (613) 732-3934 Marianhill 2016 lottery tickets are now available for purchase. Each $25 ticket gives you 68 chances to win, with 52 weekly prizes, 12 monthly prizes and 4 quarterly draws. Tickets purchased prior to November 20th, 2015 are eligible for an Early Bird Draw on December 2nd, 2015. Early bird draw winnings will be held until after Christmas. I wish to purchase Funds raised this year will go towards equipment for resident care - lifts. My cheque in the amount of $ Please print & return this order form indicating the number of tickets you wish to purchase, together with cheque payable to: enclosed. 2016 Marianhill Lottery Order Form tickets at $25.00 each payable to Marianhill Inc. is Name on ticket: ________________________________________________ Address: ______________________________________________________ Marianhill Inc. ______________________________________________________________ Remember – Lottery tickets make great stocking stuffers! Postal Code: ___________________ Telephone: _____________________ Mail or return to: Marianhill Inc. 600 Cecelia Street, Pembroke, ON K8A 7Z3 From (If ticket is a gift): _______________________________________ ______________________________________________________________ Please use the extra spaces below for additional gift recipients. Attn: Marianhill Lottery 2016 Marianhill Lottery – Gift Recipient Form 2016 Marianhill Lottery – Gift Recipient Form Name on ticket: _________________________________________ Name on ticket: _________________________________________ Address: _______________________________________________ Address: _______________________________________________ _______________________________________________________ _______________________________________________________ Postal Code: _______________ Telephone: _________________ Postal Code: _______________ Telephone: __________________ From: From: ________________________________________________ _______________________________________________________ ________________________________________________ _______________________________________________________
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