Alcohol & Gaming

Ticket Lottery Licence (Over $500)

This online Licence application is for any charitable or religious organization wanting to conduct a ticket raffle offering total prizes valued over $500.

For information regarding licences or permits, please contact the Program Administration Officer at: (902) 424-6027.

Use the Back button on your Web browser if you need to return to a previous page on this multi-page application form.

In keeping with the privacy provisions of the Nova Scotia Freedom of Information & Protection of Privacy Act, Environment and Labour will only use personal information for the purpose for which the information was obtained or compiled, or for a use compatible with that purpose.

Secure Lottery Licence Applcation Form

1. Name and Address of Charitable/Religious Organization:
Postal Code
Telephone No.
Fax No.
2.
Ticket Single
Ticket Series
Start Date:
Draw Date:
Time of Draw:
3. Location and Civic Address at which ticket lottery draw(s) will be held:
4. Purpose of fundraising and intended use of revenue:
5. Explain the process to determine winner(s) of prizes:
6. Geographical area of ticket sales:
7. Is this lottery application for a Sports Pool?
Yes
No

If yes, provide a copy of the "Official Rules" and a "Sample Entry Form". Names, addresses and telephone numbers of people who will be responsible to open, record entries and verify winners must also be provided.
 
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Last Updated: 2005-Nov-15
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