Buy tickets to participate

Article	Quantity	Unit Price	Price
Ticket(s)	- +	$10.00	$ 0.00

Booklet(s)	- +	$100.00	$ 0.00

TOTAL		$ 0.00

This Big draw is a good way to encourage a cyclist in his Tour CIBC Charles-Bruneau fundraising campaign. All profits from this draw will go to the Fondation Charles-Bruneau whose mission is to finance research and support the development of projects in the area of pediatric oncology.

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If you’re a cyclist and you want to manage your tickets through your account, before ordering.

Mrs

First name*

Last name*

Phone number*

Ext.

Email address*

Civic number and street*

Suite

Postal Code*

City*

Province*

Encourage a cyclist Encourage a team

Will you be the final holder of these tickets?

If you do not intend to resell these tickets, we will automatically validate the tickets purchased with your information. You will be contacted if the ticket is drawn, and you must present the ticket in your possession.

Yes, I will be the final holder

No, I wish to resell the tickets

I would like to receive the Fondation Charles-Bruneau newsletter.

Yes, I accept the rules of Tour CIBC Charles-Bruneau.

By submitting this form, I understand that the information provided may be used by the Fondation Charles-Bruneau to communicate with me, in accordance with its privacy policy. You may rectify your consent at any time by contacting the Fondation at fondation@charlesbruneau.qc.ca.

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