December 2010 - 4-H Ontario

Magazine
4-H ONTARIO LEADERSHIP IN ACTION • DECEMBER 2010 • PAGE 20
4-H Ontario 2011 Dream Dinner Lottery
ORDER FORM
Rules / Terms and Conditions “Ontario 4-H Council Dream Dinner Lottery” 2011:
TO PURCHASE TICKETS:
1. Fill in the order form below,
indicating method of payment.
2. Mail or fax your purchase form
to 4-H Ontario:
Mailing address:
Ontario 4-H Council
Dream Dinner Lottery
5653 Hwy 6 North, RR5
Guelph, ON N1H 6J2
Phone: 1-877-410-6748 ext. 470
Fax: 519-824-8759
3. Purchase forms must be received
by the date and time indicated
in the rules & regulations. 4-H
Ontario takes no responsibility
for lost or delayed mail or faxed
orders.
• The Grand, 2nd and 3rd prize draws will be made on Thursday, June 2, 2011 at noon at 5653 Hwy 6 North, RR5, Guelph ON N1H
6J2, and announced in conjunction with the Ontario 4-H Foundation Golf-East Tournament in Ottawa, Ontario. The last day for
lottery ticket sales will be Thursday, June 2, 2011 at 10:00 a.m.
• The first early bird draw will be made on Saturday, February 26, 2011 during the Syngenta 4-H Ontario Arbor Awards Banquet in
conjunction with the 4-H Ontario Conference and Annual Meeting (CAM) at the Waterloo Inn. Cut-off for ticket eligibility is noon on
February 23, 2011 for phone/fax orders or 5:00 p.m. on February 26, 2010 for in-person orders at CAM.
• The second early bird draw will be made and announced on Thursday, May 26, 2011 at Victoria Park East Golf Club, Guelph,
Ontario, in conjunction with the Ontario 4-H Foundation Golf West Tournament. Cut-off for ticket eligibility is noon on May 26, 2011.
• All draws will be supervised by an arms-length third party.
• Proceeds support 2011 4-H activities and resources across Ontario.
• All travel arrangements are arranged by Goliger’s TravelPlus, 234 King Street S. Waterloo, N2J 1R3, the official travel agency for
the 2011 Ontario 4-H Council Dream Dinner Lottery and the preferred travel supplier to 4-H Ontario.
• Grand prize and 2nd prize are effective from and to the closest reasonable airport from the winner’s home address. Winners are
responsible for transportation to and from this home airport or, for 3rd and Early Bird Prizes to and from the hotel/resort selected.
Grand Prize consists of: dinner for two anywhere in the world including two return economy air tickets (major centre only), all
pre-collected taxes, return airport transfers at the arrival destination, two nights accommodation for two in a deluxe hotel all taxes
and service included and dinner for two at a gourmet restaurant plus $500 additional spending money. Cash surrender value of
$4,500. Second prize consists of: dinner for two anywhere in Canada including two return economy air tickets (major centre only),
two nights accommodation in a deluxe hotel all taxes and service included, car rental for two days OR return airport transfers, and
dinner for two at a gourmet restaurant plus $250 additional spending money. Cash surrender value of $1,850. Third prize consists
of: two nights accommodation for two at a deluxe resort or hotel in Ontario, all taxes and service included, two breakfasts, and a
gourmet dinner for two, as well as evening theatre tickets or like event in the chosen location plus $200 additional spending money.
Cash surrender value of $550. Two Early Bird prizes consist of: one night accommodation for two at a deluxe resort or hotel in
Ontario, all taxes and service included, breakfast and a gourmet dinner plus $150 additional spending money. Cash surrender value
of $300 each.
• 2011 Dream Dinner Lottery prizes are valid until June 1, 2012.
• Maximum 750 tickets at a ticket price of $100 per ticket sold.
• Winners agree to have their names, city/town and photos published by 4-H Ontario.
• Winners will be notified by 4-H Ontario. Winning name and ticket number will be posted at 4-HOntario.ca following each respective
draw.
• Payment must be received in full for ticket purchase to be valid. In the event of an invalid cheque or credit card, the ticket issued will
be considered invalid.
OPERATED UNDER LOTTERY LICENCE: #M644562
LICENSEE: ONTARIO 4-H COUNCIL
OPERATED UNDER LOTTERY LICENCE: # M644562
LICENSEE: ONTARIO 4-H COUNCIL
PURCHASER INFORMATION:
This ticket is a gift
Name to appear on the ticket:
Recipients Tel. #:
PAYMENT INFORMATION:
Tax receipts can be issued for donations only.
Number of Tickets Desired: X $100 each =
I have enclosed a charitable donation of $
Your Name:
Home Phone:
Other Phone:
Method of Payment: Cheque Visa Mastercard
Please make cheques payable to: Ontario 4-H Council
E-mail:
Civic Address:
Credit Card #
Expiry Date: ___ ___ / ___ ___
Cardholder Name:
(Please print)
Ver. #: ___ ___ ___
3 digit number on the back of your card.
Cardholder Signature:
City:
Postal Code:
The information you provide will be used only for the purpose intended with the use
of this form. For further information, please contact our Privacy and Screening Officer
at (519) 824-0101, toll free at 1-877-410-6748 ext. 474, or via our website at: 4-HOntario.ca.