Self-Care Raffle Basket All proceeds go towards our Peer Support Programs. Thank you! Question Title * 1. How many tickets would you like? 1 for $3 2 for $5 4 for $10 8 for $20 12 for $30 16 for $40 Other (please specify) Question Title * 2. Your first and last name Question Title * 3. Email address Question Title * 4. Phone Number Question Title * 5. How would you like to pay? I'll send an e-transfer to Eating Disorders NS (use email address Shaleen@eatingdisordersns.ca) with the password Selfcare I'll pay by credit card - contact me at the info above Question Title * 6. Please tell me more about Eating Disorders NS and the support you offer. Yes No Done