50/50 Winner's Form — Laval Rocket

You’re receiving this link because you recently won the 50/50 raffle from the Montreal Canadiens Children’s Foundation. Details of your prize have already been communicated to you by telephone or email.

To receive your prize, you must complete the form below and provide a void check so that we can issue your payment via e-transfer.

For any questions, please contact us at [email protected] and we will get back to you as soon as possible.

  • Winner's contact information

  • YYYY slash MM slash DD
  • Liability release

  • Full name
  • YYYY slash MM slash DD
  • Pieces of identification (ID)

  • Max. file size: 300 MB.
  • Drop files here or
    Max. file size: 300 MB, Max. files: 6.
      For example, you can submit a copy of your passport, driver's license, health insurance card, birth certificate, Secure Certificate of Indian Status (SCIS), or any other official document issued by a federal or provincial authority, or a territorial or state government, to confirm your identity.
    • Banking information

      Your prize will be paid to you by bank transfer in Canadian dollars ($CAD) within 60 business days of claiming the prize.
    • Drop files here or
      Max. file size: 300 MB.
        Make sure the document contains the name of the account holder, your branch address, transit number, institution number, and your account or folio number.
      • Testimony