PAYROLL DEDUCTION ORDER FORM FOR AHS STAFF

Click Here for 2023 Credit Card Purchases

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Discount Bundles – Buy Both & Save $$$

FIVE Pack for $30

5 WinWin Monthly +
5 Quarterly 50/50
(Save $5)

TEN Pack for $47.50

10 WinWin Monthly +
10 Quarterly 50/50
(Save $7.50)

TWENTY Pack for $65

20 WinWin Monthly +
20 Quarterly 50/50
(Save $10)

CLEAR DISCOUNT BUNDLE SELECTION

WinWin Staff Lottery Monthly Draw

1 for $10

($10/each)

($10/each)

5 for $20

($4/each)

($4/each)

10 for $30

($3/each)

($3/each)

20 for $40

($2/each)

($2/each)


CLEAR WINWIN MONTHLY TICKET SELECTION

Quarterly Cash 50/50 Draw

1 for $5

($5/each)

5 for $15

($3/each)

10 for $25

($2.50/each)

20 for $35

($1.75/each)

CLEAR QUARTERLY CASH 50/50 TICKET SELECTION

YOUR ORDER INFORMATION

If you were enrolled in the 2022 Payroll Deduction Program, your deductions automatically ended at the end of December 2022.
To enroll in the 2023 WinWin Staff Lottery Payroll Deduction Program, please provide your information below.

USE ONLY THE LAST 8-DIGITS OF YOUR EMPLOYEE ID
Employee ID
First Name
Last Name
Home Address
City
Postal code
Email
Alternate Email
Mobile phone
Home phone

Payroll Selection

Designation

You must select at least one ticket package before proceeding

By selecting a ticket package, you agree to have the selected amount deducted from each pay period.


The personal information collected by WinWin Staff Lottery will be used by the Lottery and participating Foundations to process ticket orders, notify winners, send out lottery information in 2023 and future years, and to contact you regarding marketing and fundraising efforts, research, promotional information and events, through email, phone or mail. Prize winners’ name, ticket numbers, city and facility designation will be posted at winwinstafflottery.ca and on promotional materials and/or emails. Should you have any concerns about how we collect, use or disclose your personal information, please contact us by email at [email protected] or call 1-844-594-6946.