50/50 Raffle Tickets

The 2020 Hike for Hospice 50/50 Raffle Tickets are available for sale until Sept 13, 2020.

Buy a ticket for your chance to win a maximum cash pot of $15,000!
Maximum number of tickets to be sold: 6000
Lottery Licence # M835415

Draw Date: Sunday September 13, 2020

All proceeds from the raffle will go towards hospice palliative care in our community.

RULES OF PLAY FOR THE 50/50 DRAW

Fill out the contact information section below with your name, phone number, address and the number of tickets you would like to purchase. We will then call you at the phone number you provided to securely process your credit card or debit payment. We will then fill out the information section on your raffle ticket with your name and phone number. The raffle ticket stubs will then be mailed to you at the address you have indicated on the form.
Two prizes will be awarded: a 50" TV and sound system (valued at $1200) and a cash prize with a maximum value of $15,000. Prize structure is based on the number of tickets sold. Prizes are awarded as stated. A ticket will be drawn from a barrel and the ticket number/name of the winner will be announced for each prize.
It is NOT compulsory that the winner of the 50/50 Raffle be present at the draw. The raffle winners who are not present at the event will be contacted within a week after the event. Winners must provide identification when picking up prizes from the Hospice Northwest office at 63 Carrie St.
The winning ticket numbers and name will be posted at the event, in our office, on our website and in a local newspaper.
Ticket purchases must be Ontario residents and must be 18 years or older.

Are you 18 years of age or older?*
- Yes
- No
Ticket Purchaser's Name*
First Last
Ticket Purchaser's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
Email*
50/50 Raffle Tickets*
Price: $ 5.00 CAD Quantity:
Total to be Charged to Card
$ 0.00 CAD
Comments:

If you would like further information, please call our office at 807-626-5570.

Thank you for supporting Hospice Northwest!

PPS Level	Ambulation	Activity & Evidence of Disease	Self-Care	Intake	Conscious Level
100%	Full	Normal activity & work No evidence of disease	Full	Normal	Full
90%	Full	Normal activity & work Some evidence of disease	Full	Normal	Full
80%	Full	Normal activity with effort Some evidence of disease	Full	Normal or reduced	Full
70%	Reduced	Unable Normal Job/Work Significant Disease	Full	Normal or reduced	Full
60%	Reduced	Unable hobby / housework Significant Disease	Considerable assistance necessary	Normal or reduced	Full or Confusion
50%	Mainly Sit/Lit	Unable to do any work Extensive disease	Considerable assistance requires	Normal or reduced	Full or Confusion
40%	Mainly in Bed	Unable to do most activity Extensive disease	Mainly assistance	Normal or reduced	Full or Drowsy +/- Confusion
30%	Totally Bed Bound	Unable to do any activity Extensive disease	Total care	Normal or reduced	Full or Drowsy +/- Confusion
20%	Totally Bed Bound	Unable to do any activity Extensive disease	Total care	Minimal to sips	Full or Drowsy +/- Confusion
10%	Totally Bed Bound	Unable to do any activity Extensive disease	Total care	Mouth care only	Drowsy or Coma +/- Confusion
0%	Death