Share with your friends & family to help nominate a local charity to receive $10,000 + Enter to WIN $2,500 for yourself!

This contest is now CLOSED.

Check back after our draw date on February 19th to see who won!

To be eligible for this draw, all online entries needed to be received by midnight on, Thursday February 4^th, 2016 the contest closing date.

Name*

First

Last

Address

City, Province and Postal Code

City

Province

Postal Code

Phone

Email*

Nominated Local Charity - *

Local Store Name

Charity Background/Who They Serve*

Your nominated charity CANNOT be one or any of the following:

I have read and agree to the rules below*

Skill Testing Question: 4 x 5 - 5 + 3*