Ticket Report

    Council Number 

    Council Name 

    Address Information

    Street Address:

    City:     Province:    Postal Code:  

    Home Phone number:     Cellphone:

    Nil Returns must be send on reporting dates




    Number of book sold  

    Number of book needed  

    Your Message

    To do:

    • Print this page first
    • Click the “Submit” button to send this form to the Ticket Chairman.
    • Send Cheque and copy of this page to State Treasurer.
    • Keep a copy for Council record

    Send copy of this form to

    • State Treasure: Arthur Rice, 502 – 530 Starboard Drive, Halifax, NS, B3M 0G9