Winnipeg Free Press (Newspaper) - July 19, 2013, Winnipeg, Manitoba
C M Y K PAGE A15
winnipegfreepress. com XYFOLIOXY WINNIPEG FREE PRESS, FRIDAY, JULY 19, 2013 A 15
PURCHASER INFORMATION .. Mr. .. Mrs. .. Ms. .. Miss .. Dr.
* First Name ________________________ * Last Name _______________________________________
* Address ____________________________________________________________________________
* City/ Town ________________________ * Province _____________ * Postal Code _______________
Phone: Home ( )_____________ Work ( ) ______________ Cell ( )_______________
Email _______________________________________________________________________________
METHOD OF PAYMENT
.. Money Order .. Cheque Payable to St- Boniface Hospital Foundation . Please, no post- dated cheques.
.. ..
Card#
Expiry: /
Signature ___________________________________________________________________________
Fax your ticket order form to fax to 204- 231- 0041
or mail to St- Boniface Hospital Foundation PO BOX 73 RPO Norwood Grove, Winnipeg MB R2H 9Z9
TICKET ORDER FORM
DREAM LOTTERY 4 KIDS
2 - Ticket Pack( s) ______ @ $ 100 per pack = $ __________
6 - Ticket Pack( s) ______ @ $ 250 per pack = $ __________
15 - Ticket Pack( s) _____ @ $ 500 per pack = $ __________
Single Ticket ______ @ $ 10 each = $ __________
6 - Ticket Pack( s) ______ @ $ 25 per pack = $ __________
20 - Ticket Pack( s) _____ @ $ 50 per pack = $ __________
TOTAL $
50/ 50 PLUS TM Purchase 50/ 50 tickets today with your main lottery ticket
Each Dream Lottery 4 Kids ticket in a 2- pack, 6- pack or 15- pack and each 50/ 50 Plus ticket in a 6- pack or 20- pack
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Kids ticket order. 50/ 50 Plus orders will not be accepted after your original Dream Lottery 4 Kids ticket order date.
Dream Lottery4Kids . ca // Phone 204- 940- 5437 // Toll Free 1- 855- 886- 5437
.. Yes, I would like to receive information about The Children’s Hospital
Foundation of Manitoba and St- Boniface Hospital Foundation.
How did you hear about our lottery?
.. Mail/ Brochure
.. Radio
.. TV
.. Website
.. Social Media
.. Other ___________________
License No. MGCC1517RF / FP071913
SUPPORTING
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I N W I N W I N W I N W IN
* Required fields.
OVER
4,100
Prizes to
WIN!
W N
$ 1,000 $ 1,000 $ 1,000 $ 7,000$ 7,000
$ 1,000 $ 1,000 $ 1,000 $ 1,000 $ 1,000 1,000 $ 1,000
$ 1,000 $ 1,000 $ 1,000 $ 1,000 $ 1,000 1,000 $ 1,000
$ 1,000 $ 1,000 $ 1,000 $ 1,000 $ 1,000 1,000 $ 1,000
$ 1,000 $ 1,000 $ 1,000 $ 1,000 1,000 $ 1,000
$ 1,000 $ 1,000
W I
$ 1, 000 000 $ 1, 000 000
000 $ 1, 000 000
000000 $ 1, 000 000 $ 1, 000 000
$ $ 1, 000 000 1,000 000 000
1,000 000 $ 1, 000 000
W
000 000 000 000 000
000 000 000 000 000 000
000 000 000 000
000 000 000 000 000
000 000 000 000 000
$ 1,000 $ 1,000 $ 1,000 $ 1,000 $ 1,000 $ 1,000 $ 1,000
$ 1,000 $ 1,000 $ 1,000 $ 1,000 $ 1,000 $ 1,000 $ 1,000
$ 1,000 $ 1,000 $ 1,000 $ 1,000 $ 1,000 $ 1,000 $ 1,000
$ 1,000 $ 1,000 $ 1,000 $ 1,000 $ 1,000
$ 1,000 $ 1,000
$ 7,000 $ 10,000
$ 15,000
new
DAILY DRAWS! Buy Sooner
WIN More!
A_ 15_ Jul- 19- 13_ FP_ 01. indd A15 7/ 18/ 13 6: 00: 33 PM
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