OFFICE RAFFLE OF 2024

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Please Note

We are proud to support The Montreal Children's Hospital Foundation.

Once the payment has been confirmed and processed, an e-mail will be sent out including a Tax Receipt & Ticket Number.

Ticket and Tax Receipt must be in the same name as the credit card holder.

The Convenience fee is Tax Deductible.

* First Name (Indicate name to appear on Tax Receipt)

* Last Name (Indicate name to appear on Tax Receipt)

Business or Organization Name (Indicate name to appear on Tax Receipt)

* Phone Number

* E-mail

* Address

* Province

* Postal Code

* City

* Ticket or Sponsorship Purchase (1/2 Tickets $68 each, Tickets are $136 each, Regular Sponsorship $250, Gold Sponsorship $500, Platinum Sponsorship $1000)

If choosing a Sponsorship level, please note the amount of tickets that you will be receiving:
Regular Sponsorship = 1 Ticket, a $214 tax receipt & 1/3 page ad
Gold Sponsorship = 2 Tickets, a $428 tax receipt & 1/3 page ad
Platinum Sponsorship = 4 Tickets, a $856 tax receipt and full page ad

* Wish to split the prize?

* Name of Canvasser

If Canvasser was "other", please mention who

Notes

Please note that if the credit card information does not match the information above, we can't process the transaction.

Total

Ticket #1

Ticket #2

Ticket #3

Ticket #4

Ticket #5

Thu, January 23 2025 23 Tevet 5785

TEL: (514) 748-6559 FAX: (514) 748-6635
2600 Rue Badeaux, Saint-Laurent, QC H4M 1M5, Canada

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