C OFFICIAL TICKET REQUEST - Cabin LotteryLottery License # 19-10127800LT Lottery License #...

Complete the Official Ticket Request and send it along with your cheque, money order, VISA or MasterCard number. Official Ticket(s) will follow by mail. Tax receipts cannot be issued. Only 55,000 tickets will be sold.

OFFICIAL TICKET REQUEST

By ordering a ticket, you are confirming you have read and accepted the rules and regulations. Your personal information is collected only to complete your order and to allow Easter Seals to notify you about future Luxury Cabin Lotteries. Easter Seals does not sell, trade or lease your personal information. If you wish to be removed from our contact list, please call 1-866-820-9515 or email CabinLottery@telelink.ca . For ticket inquiries, please call 1-866-820-9515. The following individuals (including their spouse and any related dependent person residing in the same household) are prohibited from purchasing a Luxury Cabin Lottery ticket: Employees and Board members of Easter Seals Newfoundland and Labrador; Partners and employees of Telelink Call Centre Inc.; Partners and employees of Breton Interactive; Partners and employees of Canadian Hard of Hearing Association. The liability of the licensee of this lottery shall be limited to the purchase price of this ticket.

For ticket inquiries, please call 1-866-820-9515

Lottery License # 19-10127800LT

Lottery License # 19-10127800LT

Send tickets by email.I live in the province of Newfoundland and Labrador and will have the Lottery Ticket(s) delivered in the province of Newfoundland and Labrador. I acknowledge that I am 19 years of age or older. (Tickets cannot be purchased by or in the name of a minor)

Additional 50/50 Draw Ticket Order Information50/50 Tickets can only be purchased in conjunction with

Easter Seals Luxury Cabin Lottery Tickets*

single 50/50 at $10 each. Total $

5-pack(s)* 50/50 $40 each. Total $

How did you learn about us?

Last NameFirst NameMr. Mrs. Ms. Dr.

PO Box Suite / Apt Address

Province NL Postal Code

Cell ( )Home ( )Phone: Work ( )

Email

City/Town

Easter Seals Luxury Cabin Lottery Ticket Order Information

single ticket (s) at $30 each. Total $

3-packs(s)* at $75 each. Total $

5-packs(s)* at $150 each. Total $ (includes 5 pack 50/50)

TOTAL ORDER AMOUNT (Cabin Lottery tickets and 50/50 Add-On Tickets)

TICKET ORDER RECEIPT

Make cheque or money order payable to: Easter Seals Newfoundland and Labrador. (Please, no post-dated cheques)

(Check only one) Cheque Money Order Cash

MasterCard VISA

Mail to: Easter Seals Luxury Cabin Lottery 206 Mount Scio Road St. John’s , NL, A1B 4L5

Cardholder’s Name:

Card number: Expiry Date:

Cardholder’s Signature:

M

Age 19-24 25-34 35-49 50-64 65+

M Y Y

Thank you for supporting Easter Seals Newfoundland and Labrador by purchasing a ticket(s) for the Luxury Cabin Lottery. Your order receipt number is:

$

RECEIPT NUMBER:

Your support makes a big differenceEvery life we touch is a life you helped.

Learn more at: easterseals.ca