The Loft + uOttawa Team Diabetes Fundraiser
We are collaborating with The Loft to host our fourth fundraiser to sponsor runners to participate at the annual Ottawa Race weekend in May.

Date: Tuesday March 19, 2019
Time: 4:00pm-10:00pm

Ticket Price: $5 EACH
** ONE REGISTRATION PER GROUP **
For official members: $3 PER TICKET
How to become an official member: sign up + attend meeting/event:
www.UOTeamDiabetes.com/members/signup

All proceeds go towards Diabetes Canada.

contact info: uoteamdiabetes@gmail.com

Group
PLEASE ONLY FILL OUT ONE FORM PER GROUP
Contact Information
Name *
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Email *
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Payment
E-Transfers are to be sent to finance.uotd@gmail.com and AUTOMATIC DEPOSITS have been enabled for our account.
How many tickets are you purchasing? *
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Confirmation and Signature
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