Side by Side Dinner & Draw Ticket Order Form

maritimemotorsports@gmail.com

+1 506 756 2110

5 Hooper Lane, Petitcodiac, NB

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Please use the following form to purchase tickets for our 2018 Side By Side Dinner & Draw event, details following…

prize may not be exactly as depicted above

Grand Prize*

2018 Honda SXS500 Side by Side*

Date

Saturday, March 24, 2018

Time

Meet & Greet 5:30 p.m. to 6:30 p.m.; Buffet Dinner at 6:45 p.m., followed by the draw (you do not need to be there to win the Grand Prize)

Dress Code

Casual

Place

Maritime Motorsports Hall of Fame, 5 Hooper Lane, Petitcodiac, NB

Tickets (NB Lottery License #077401956007)

$100.00 each or 3/$200.00

Purchase online using the form below or call 506-756-2110 to purchase by cheque, money order, or e-Transfer.

*In the event that the predetermined amount of tickets (250) are not sold by March 7, 2018, the MMHF will make a 50/50 draw in lieu of the Side-By-Side.

Name on Ticket/s *

First

Middle

Last

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Daytime Phone *

Mobile Phone

Email *

Confirm Email

Number of Tickets ($100.00 each or 3/$200.00) *

use the drop-down menu above to select the number of tickets you are purchasing; NB Lottery License #077401956007

Would You Like to Have Your Ticket Stub/s Mailed *

Total *

$0.00

Your credit card will be charged this amount when you submit the form.

Credit Card *

Card Number

Security Code

Name on Card

Expiration/

Form Submitted By *

First

Middle

Last

must be 19 or older

Disclaimer *

By submitting this ticket order you acknowledge you understand that if the predetermined number of tickets (250) are not sold by March 7, 2018, the MMHF will make a 50/50 draw in lieu of the side-by-side draw. No refunds.

Captcha *

if you see a * in the equation it means to multiply

Your order and payment will be processed when you click submit. Please be patient while processing and do not resubmit or terminate. A successful order will result in a thank-you message and receipt of two emails (one for payment and one with your order). If there are errors in your order they will be indicated on the order form - correct and resubmit.

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