Step 1
Select Tickets
Step 2
Personal Information
Step 3
Individual/Group Purchase
Step 4
Financial Information
Step 5
Order Summary

Step 1 Select Lottery Tickets

Please be aware that this is a secure site. Your information is private and safe.

Tickets may only be purchased or sold within Saskatchewan.

MONTHLY LOTTERY TICKET(S)

@ $110.00

I would like to make a donation to help purchase an electric bariatric treatment chair, for Battlefords Region Home Care (BRHC)
in the amount of $
We are grateful for your donation. A charitable tax receipt will be mailed to you seperately for donations of $10 or more.

Calculate

50/50 Enhancement

@ $10.00

Lottery License #LR19-0103

Step 1
Select Tickets
Step 2
Personal Information
Step 3
Individual/Group Purchase
Step 4
Financial Information
Step 5
Order Summary

Step 2 Personal Information

Individual name on Ticket:
or
(One name only)

Name of Group:
with
(This section is for a group purchase)

Group Contact Person for Group Purchase:
(In the event your group ticket number is drawn the cheque will be issued to the group contact person)

*Address:

*City:

*Province:

*Postal Code:

*Email Address:

*Phone Number:

*Previous Purchaser:

Do NOT include my name on BUH Foundation emailing lists

Do NOT include my name on general mailing lists

Do NOT send me a previous purchasers envelope next year

Lottery License #LR19-0103

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Step 1
Select Tickets
Step 2
Personal Information
Step 3
Individual/Group Purchase
Step 4
Financial Information
Step 5
Order Summary

Step 3 Individual/Group Purchase

Individual Purchase Group Purchase

Lottery License #LR19-0103

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Step 1
Select Tickets
Step 2
Personal Information
Step 3
Individual/Group Purchase
Step 4
Financial Information
Step 5
Order Summary

Step 4 Financial Information

Tickets may only be purchased or sold within Saskatchewan.

Full Name on Card:

Type:

Credit Card Number: - - -

Expiry Date: /

Same address as on ticket

Mailing Address:

City:

Postal Code:

Phone:

I am a Resident of Saskatchewan

Lottery License #LR19-0103

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Step 1
Select Tickets
Step 2
Personal Information
Step 3
Individual/Group Purchase
Step 4
Financial Information
Step 5
Order Summary

Step 5 Order Summary

Individual name on Ticket:

Address:

City:

Province:

Postal Code:

Email Address:

Phone:

Name of Group:

Group Contact Person:

Previous Purchaser

Do NOT include my name on BUH Foundation emailing lists

Do NOT include my name on general mailing lists

Do NOT send me a previous purchasers envelope next year

Full Name on Card:

Credit Card Number:

Type:

Expiry Date: /

Mailing Address:

City:

Postal Code:

Phone:

Single ticket for $110 each

Single Enhancement for $10 each

Donation amount
(official charitable tax receipts will be issued for $10 and over and will be mailed separately)

Type of Purchase:

Lottery License #LR19-0103

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Thank you to all our AWESOME ticket buyers! You have helped enhance healthcare in your community and we are GRATEFUL!