Name*

First Last

Email*

Phone*

Please select how you would like to receive your ticket bundles:

If collecting from the office, please indicate the date.

Address

Street Address City State / Province / Region ZIP / Postal Code

Name of Event Fundraising for:*

Number of Bundles*

There are 5 tickets per bundle, tickets are $10 each *maximum tickets in this lottery is 5,000.

If other please specify*

Reason for additional ticket bundles*

If you are hosting a major fundraising event, please include further details of your requirements. Additional ticket bundles are subject to availability and the discretion of Variety.

What is your Car, 4WD or PWC number*

If you are not registered in one of the above events please enter N/A

So that we can personalise your experience, please select your state.

$10,000 cash prize!

Lottery Ticket Bundle Orders