Survey - CancerCare Manitoba Foundation Payday Pool Lottery Application

Please complete this form for the CancerCare Manitoba Foundation Payday Pool Lottery in order to be entered in the draws. You will be entered in the next draw.

Full-time and part-time employees are eligible to participate in the Payday Pool Lottery.

EMPLOYEE INFORMATION

Please enter the following information:

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Name:

First Required	Last Required

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Email: Required

Yes, I would like to receive email from CancerCare Manitoba Foundation

Keep me logged in. What's this?

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Question - Required - Date

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Question - Required - Employee ID (found on your ID badge)

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Question - Required - Department

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Question - Required - Your position is:

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Question - Required - Home Address:

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Question - Required - City

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Question - Required - Province:

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Question - Required - Postal Code:

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Question - Required - Work Phone Number

TERMS AND CONDITIONS

The Payday Pool Lottery is open via payroll deduction to paid CancerCare Manitoba employees who have earnings on a regular bi-weekly basis.
Membership extends indefinitely until terminated by either the employee or CancerCare Manitoba Foundation. Admission permitted at the discretion of CancerCare Manitoba and CancerCare Manitoba Foundation.
If an employee terminates, they will no longer be eligible for future Payday Pool Lottery draws.
When unpaid absences occur (LOA, maternity leave, workers compensation, etc.) the employee will be ineligible during any month that payments are not made. The employee is responsible to ensure that their deduction continues after they have returned to work. As long as deductions are being made, the employee is eligible to win.
One draw for every pay period will be made by the Payday Pool Lottery Coordinator.
All winning names are re-entered into subsequent draws.
Prize monies are non-taxable. Payday Pool Lottery entry fee is not tax deductible and charitable donation receipts will not be issued.
One-half of the funds generated for each draw will be paid out to the winner within five (5) business days of draw. The other half of the pool supports CancerCare Manitoba's refreshment services. A free service for patients and their families during visits to CancerCare; volunteers provide over 100,000 beverages and 135,000 cookies each year!

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Question - Required - Making a selection in this box acts as an electronic signature authorizing CancerCare Manitoba Foundation to process your Payday Pool Lottery application.

Join Payroll Giving! Choose your bi-weekly contribution.

Questions? Please contact Sharon Loewen at 204-784-2797 or sloewen16@cancercare.mb.ca.

For office use only
Draw ticket number:
LGCA 3819-RF-41555