50/50 Submission Form (Napanee District Minor Hockey)

Print 50/50 Submission Form

Teams are to use this form to submit their 50/50 information (including # tickets sold, winner, date of 50/50, etc).

Date of 50/50 Draw^*

Contact Name^*

Enter the name of the person submitting the information
Contact Email Address^*

Enter the email of the person submitting the information
Contact Phone Number^*

Enter the phone number of the person submitting the information
Number of Tickets Sold^*

Just the total number of tickets (doesn't matter what the price per ticket was)
Total Amount of Money Collected^*

The total amount collected (before splitting for 50/50)
Total Prize Awarded^*

Should be 50% of total prize money collected
Name of Winner^*

Enter the winner's first and last name
Phone Number of Winner^*

Enter the winner's telephone number
I agree to submit the total prize money collected (that is left over from the 50/50) to Napanee District Minor Hockey, via E-Transfer to [email protected]

When I submit the e-transfer, I will note the date and team for the 50/50.

I agree to the terms and conditions stated above^*