Shed EMT Purchase - Hospice Miramichi Inc.

Wee-One's Shed Tickets - E-Transfer Purchases

Instructions:

Fill out and submit the form below PRIOR to sending E-Transfer via your online banking
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 & E-Transfer are received.
Send E-Transfer to: info@HospiceMiramichi.com. No security question/password should be required. *If a password is necessary for your banking institution please make the answer "Shed"
You will be receiving an email providing your ticket numbers within 3 - 5 business days after we receive your E-transfer and form. This is a separate email from your banking confirmation.

* Indicates required field

E-Transfer Sender (Name) *

Ticket Holder Name *

First

Last

Address *

Town/City *

Province *

Postal Code *

Phone Number *

Email (To send ticket details) *

Select One *

Comment *

Submit