PURCHASE SINGLE RAFFLE TICKET for $2.00

To purchase multiple tickets, please call our office at 204-988-7650
Please complete the below form before proceeding:

CARD OWNER INFORMATION

First Name:

Last Name:

Address:

City:

Province:

Postal Code:

Country:

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Email:

TICKET INFORMATION (if different from card owner information)

First Name:

Last Name:

Address:

City:

Province:

Postal Code:

Country:

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