Document 6561523

246 Stavanger Drive, St. John’s
OPEN HOUSE 12-9 DAILY
GRAND
PRIZE
OPEN HOUSE 12-9 DAILY
246 Stavanger Drive, St. John’s
2nd Prize:
KIA Soul LX
or 18,000.00
.00 cash
3rd Prize::
$15,000
New York
Shopping Spree
ee
Ultimate 50/50 EXTRA
COSTCO
Available online, by order form or by phone.
4th P
Prize
i tto
o 30th Prize:
Pi
$250
Ultramar
Gift Cardss
Last Years' Jackpot was over
$196,000.00...
What will it be this year?
Total value of prizes to be given away $706,950
Last Day To purchase: Tues, Jan. 6, 2015, Draw Date: Wed., Jan. 28, 2015
Licence No: 14-10255900LT, # of tickets printed: 84,500
Come for a tour
Follow us
www.ultimatedreamhomelottery.com
THANKS TO OUR SPONSORS
Official Ultimate Dreamhome
Lottery Ticket Request Form
(Official ticket will follow in approximately 2 weeks)
Ticket order forms sent by mail must be postmarked by our ticket sales cut-off date of Jan. 6, 2015.
Please mail to 1081 Topsail Road, Mt. Pearl, NL A1N 5G1 or send by fax to 709-753-5640.
Also online at www.ultimatedreamhomelottery.com. Or by phone: locally 709-738-2946,
provincially 1-866-403-7326, or contact our office at 709-753-3224 for a sales location near you.
Name:
Address:
All proceeds from the Ultimate Dreamhone Lottery are used
to support CHHA-NL programs and services in this province
Do you, or someone you know, have hearing loss?
Would you like to know more about hearing loss
or what is available to assist you?
City/Town:
Province:
Day Phone:
Evening:
Email address:
Ticket sales are intended for residents Newfoundland and Labrador. Purchaser must be 18 years or older.
Please send me
Ultimate Dreamhome Lottery ticket(s) for $25.00 each. Please add
the following Ultimate 50/50 extra options to my ticket(s). Please choose one option per ticket
requested.
The Canadian Hard of Hearing Association - Newfoundland and Labrador
(CHHA-NL) is the place to call
Ultimate 50/50 Extra tickets at $10 each or
set(s) of 3 Ultimate 50/50 Extra tickets for $25 a set
set(s) of 5 Ultimate 50/50 Extra tickets for $40 a set
Our Programs and Services Include:
• Information Services
• Hearing Awareness Training
• Assistive Technology Loans Program
• Adopt-a-Daycare Program
• Resource Library
• School & Public Presentations
• Free Newsletters
• Hearing Accessibility
• Membership
Postal code:
• Summer Camp
• Resource Groups
- Youth
- Meniere’s/Tinnitus
- Families
- Cochlear Implant
• LEAP ( Leadership, Empowerment,
Achievement, Program)
No thank you, I do not wish to participate in Ultimate 50/50
Please note each ticket in a set must contain the same information. If ticket(s) will be sent as
gifts(s) please provide the name(s) for each Ultimate Dreamhome Lottery ticket and
corresponding set of Ultimate 50/50 Extra Tickets.
Name
Name
Name
Total amount of payment:
Thanks to your support, all of our programs are FREE of charge!
For more information visit our website at www.chha.nl.ca
Donations Gratefully Accepted
❒ Visa ❒ MasterCard ❒ Cheque/Money order (make payable to CHHA-NL, no post-dated cheques please)
________/_________/_________/________ exp: ____/_______
Signature:
* Cash/Debit are available at Avalon
Mall,Village Shopping Center,
The Ultimate Dream Home and
CHHA-NL office only
OFFICE USE
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Date Submitted
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Order ID#