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Please complete the form below to be entered into our monthly draw! All information received is confidential and will not be used by or sold to other parties. * = Required Fields

 

 Name *
 Address
 City
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 Postal Code
 E-Mail address *
 Telephone Number *
 Gender
 Your age
 
 How often do you visit the Red River North region of Selkirk, St. Andrews and St. Clements?

 What is the purpose for your visit to the region? If applicable, please tick more than one.
(If never is selected from above question, please next question)

Visiting Friends & Relatives  
Eco-tourism (Hunting, Wildlife Viewing, etc.)  
Cultural/Historic Sites & Museums  
Festivals & Events  
Outdoor Activity (Sports, Swimming, Boating)  
Business  
Shopping & Sightseeing  

 
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 Please note: only completed forms will be entered in the draw.