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Name *

Phone *

Email *

Are you 18+ years old? *

Yes, I am older than 18 years of age

No, I am not older than 18 years of age

Address *

P.O. Box

Postal Code *

City *

Province *

How many tickets would you like to purchase? *

3 Bingo Cards ($10.00 Shipping Included)

6 Bingo Cards ($19.00 Shipping Included)

10 Bingo Cards ($31.50 Shipping Included)

20 Bingo Cards ($62.00 Shipping Included)

30 Bingo Cards ($93.00 Shipping Included)

40 Bingo Cards ($133.50 Shipping Included *Express only))

50 Bingo Cards ($163.50 Shipping Included *Express only))

Bingo Draw Date and Colour *

January 30th (PURPLE Cards)

February 6th (GREY Cards)

February 13th (RED Cards)

February 20th (BROWN Cards)

February 27th (ORANGE Cards)

Your Purchase Total

Special Requests

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