Required fields are marked with a *
Contact Info
First Name: *
  		Last Name: *
 
Address 1: Address 2 (Optional):
City: County:
Province: Postal Code:
Phone: *
  		Fax:
Cell Phone: E-Mail: *
 
 
Notes:

Organizational Information
Name of Team or Organization*
 		Provincial Sport or Recreation Organization*
Position with Team*Other (Please specify)

Ticket Requests
Number of Tickets Required (Quantity)*
 		Pickup or Delivery*


Terms and Conditions
I certify that we are members in good standing of our Provincial Sport Organization or Recreation Organization and that all information I  have submitted is true.  I agree to take full responsibility for the SportSweep tickets and to return all sold and unsold tickets accompanied by all monies owed to Sport Nova Scotia as per ticket stubs by no later than March 23rd, 2018 .  I accept full responsibility of paying for all tickets not returned by the above date. I understand that I will be able to request tickets immediately but tickets will  not be distributed until September 18th, 2017.


I agree to these terms and conditions.