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Purchase a Ticket With a Cheque







The cost of tickets is $10.00 for one ticket or

a book of eleven tickets for $100.00


Ticket Order Form - Dinner For Two Anywhere in the World


For a printable ticket order form. please click here

Print and complete the order form and enclose your cheque (no tax and please do not mail cash), made payable to the Coboconk Lions Club

Mail to:  Coboconk Lions, Box 316, Coboconk, Ontario, K0M 1K0              Attention - Elaine




City/ Town: _________________________

Postal Code/Zip: ______________

Province/State: _____________________

Country: _____________________

Email: _________________________________________________________________


Cell: ________________________


Ticket Order Form


Number of tickets @ $10.00                     ________                      

Total Cost of tickets:______________

Number of Books of tickets @ $100.00   ________

Bonus - a book has 11 tickets for $100.00

Total Cost of book(s) _____________


If you are planning to give a ticket or book of tickets as a gift to another person, the name on the ticket must be older than 18 years.  List the name and contact information of the person receiving the gift here.


Phone/Email: __________________________________________________________

If you need more space, for names, please write them on the reverse side of this form

Your ticket stub will be mailed to you, when the cheque is deposited and clears.