He Shed EMT Purchase - Hospice Miramichi Inc.

He Shed Tickets - E-Transfer Purchases

Instructions:

Please fill out and submit the form below prior to sending E-Transfer.
Please provide a full address as E-Transfer purchasers must receive a physical copy of their ticket stub as per the NB Lottery Licensing Guidelines.
Ticket orders will not be processed until both the submission form and E-Transfer are received.
After Submitting form, send E-Transfer to: Info@HospiceMiramichi.com using the password HESHED

* Indicates required field

E-Transfer Sender *

Ticket Holder Name *

First

Last

Address *

Town/City *

Province *

Postal Code *

Phone Number *

Email *

Select One *

Comment *

Submit