Shed EMT Purchase - Hospice Miramichi Inc.

She Shed Tickets - E-Transfer Purchases

Instructions:

Please fill out and submit the form below PRIOR to sending E-Transfer.
Please provide your full address as ticket purchasers must provide complete contact information and be a NB resident 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. No security question/password required.

* Indicates required field

E-Transfer Sender *

Ticket Holder Name *

First

Last

Address *

Town/City *

Province *

Postal Code *

Phone Number *

Email *

Select One *

Comment *

Submit