RCHF Lottery Application Form for Employees on Fraser Health
FAQ How to Enter When will draws take place? Draws are held every other Monday at 1pm in the RCH cafeteria. Fax completed form: Who is eligible to win the RCH Foundation 50/50 Lottery? Any full-time, part-time or casual employee on Fraser Health payroll are eligible to enter the draw. RCH Foundation staff and board members are not eligible to participate. How can I increase my chances of winning? You can purchase as many entries ($5 each) as you like to be deducted from your pay cheque. 604.520.4439 50/50 Lottery Drop off or mail in your application: by payroll dedUction Royal Columbian Hospital Foundation 330 East Columbia Street New Westminster, BC V3L 3W7 t 604.520.4438 Yahoo! It could be you! Main floor of Health Care Centre (across from the Gift Shop) rchcares.com/lottery Who sets the rules? The RCH Foundation 50/50 Lottery is licensed by the Gaming Policy & Enforcement Branch and is operated in accordance with their rules. Our 2015/16 BC Gaming Event License number for Payroll Deduction is #74423. Why do I have to renew my participation every year? Annual renewal is a BC Gaming Event requirement. Please ensure RCH Foundation has your latest contact information so a renewal reminder can be sent to you. When can I enter and for how long? The RCH Foundation 50/50 Lottery is open for new applicants year round. Deductions from your pay cheque will start shortly after your completed form is received by RCH Foundation and will continue until or such time as I choose to withdraw. What does RCH Foundation do with the money raised? RCH Foundation uses the money it raises through various fundraising activities to purchase critically needed equipment for various areas of care throughout Royal Columbian Hospital. 2015/1 Application Form Chances are 1 in 1,500 per draw (total tickets for sale) to win. Actual odds depend on number of tickets sold. BC Gaming Event License #74423 Chances are 1 in 1,500 per draw (total tickets for sale) to win. Actual odds depend on number of tickets sold. BC Gaming Event License #74423 Know your limit, play within it. Know your limit, play within it. Problem Gambling Help Line 1-888-795-6111 www.bcresponsiblegambling.ca 19+ Problem Gambling Help Line 1-888-795-6111 www.bcresponsiblegambling.ca 19+ Rules of Play 1. To be eligible to enter, you must be 19 years of age and on Fraser Health payroll as a regular full-time, parttime or casual employee. 2.Complete and submit the following form to pay for your entries by Fraser Health payroll deduction. A report of payroll deductions is provided to RCH Foundation by Fraser Health payroll each pay period. You will only receive an entry in pay periods in which you have earned income. You will not receive entries during unpaid leaves. 3.Winners must sign a release prior to receiving their cheque. Sign me up for the RCH Foundation 50/50 Lottery! Name employee # Department email work phone home phone home address city postal code entry information A single entry is $5 per pay period. 1 Entry 2 Entries 3 Entries 4 Entries Other $5/pay period $10/pay period $15/pay period $20/pay period at $5/ENTRY additional information payment Tickets may be sold and purchased only in British Columbia. Payroll Deduction For RCH Foundation Use Only: I authorize payroll deductions for the entries stated above to be deducted through Fraser Health payroll up to April 15, 2016 or such time as I choose to withdraw. begin pay period Ticket purchasers must be 19 years of age or older. If a winning ticket bears a minor’s name, the prize will be lawfully delivered on behalf of the minor to the minor’s parent, legal guardian or trustee. Tickets are drawn from a barrel by an RCH Foundation representative. Winners will be notified by phone. Prize is in the form of a cheque. Winner’s names and amounts are posted on Site Information Boards located throughout Royal Columbian Hospital within 3 days of the draw. A bi-weekly e-mail announcement with the winner’s names and amounts is also sent to all participants who included an email address with their application. Winners will be notified by phone. Payroll Withhold Register: #777.1 Lotry RC consent Please enroll me in the RCH Foundation 50/50 Lottery until the April 18, 2016 draw or such time as I choose to withdraw, at which time I will provide two weeks written notice to RCH Foundation. I verify that I have read the Rules of Play and that my employee and contact information is correct and current. RCH Foundation is committed to protecting the privacy of all personal information you share with us. The information we collect is used to manage the lottery and keep you informed about the Hospital and Foundation. We do not rent, sell or share lists. Please call us at 604.520.4438 if you do not wish to receive any other types of information from us. Signature DATE Winners consent to the release of their names by the licensee. Chances are 1 in 1,500 per draw (total tickets for sale) to win. Actual odds depend on number of tickets sold. * Please note that lottery participation is not considered a donation by the Canada Revenue Agency and is therefore not eligible for a tax receipt. Problem Gambling Help Line 1-888-795-6111 www.bcresponsiblegambling.ca BC Gaming Event License #74423 Know your limit, play within it. 19+
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