have a very mega christmas!

Tickets sell fast. Don't miss out.

Tickets are a value packed $50 each or get yourself a mega bargain with 3 tickets for $125!

Purchase on line or contact us now on 1300 850 081 for your chance to win

You can secure a ticket through one of these means:

Purchase Lottery Tickets Online

Post

Print off and fill out the "Lottery Order Form" below
Enclose the slip with your payment to The Epilepsy Centre, P O Box 12, WOODVILLE SA 5011

Telephone

The Epilepsy Centre on 1300 850 081 for your chance to win!

Fax

Fax your details to us on (08) 8448 5609

Email

If you prefer, you can send us an email by contacting us at enquiries@epilepsycentre.org.au

We will then forward your ticket/s to the name and address completed on the lottery order form.

Lottery Order Form

Please forward to: The Epilepsy Centre PO Box 12, Woodville SA 5011

I have enclosed $50 for 1 tickets @ $50.00 each in your Mega Christmas Lottery

I have enclosed $100. for 2 tickets @ $50.00 each in your Mega Christmas Lottery

I have enclosed $125 for 3 tickets @ $50.00 each in your Mega Christmas Lottery

Please debit $................... from my

Bankcard

Visa

AMEX

Mastercard

Diners

Card No................/................/................/................

Name on card..........................................................

Expiry Date................/................

Signature.................................................................

Name.....................................................................................

Business Name ...................................................................

Address....................................................................................

Suburb........................................................................................

State.................................... Postcode..................

Telephone (Home)........................................................

Telephone (Work) .........................................................................

Telephone (Mobile) .......................................................................

Email: ..............................................................................................