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