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Trip of the Month Ticket Order Form
Draws start December 18, 2018 and end May 21, 2019. There are a total of 12 draws with a grand total of $29,600 in prizes! Questions about this raffle can be directed to raffle@egha.ab.ca.

To purchase a ticket, you must be a resident of Alberta.

Your name: *
Your answer
Name on ticket (if purchasing a ticket for someone else). The name on the ticket must be of a person 18 years of age or older:
Your answer
Home phone number: *
Your answer
Cell phone number or other alternate number: *
Your answer
Email address: *
Your answer
Full mailing address (including postal code): *
Your answer
What team are you supporting (if you are unsure of the team name, you may also enter a player's name, and we will match the team)?: *
Your answer
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