Order Form - Marianhill

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:
________________________________________________
_______________________________________________________
________________________________________________
_______________________________________________________