Association Group
	Name of Association/Group

	President/Director Contact Information
	Name of President/Director
	Mailing Address
	City
	Postal Code
	Daytime Phone
	Email
	Fax

	Volunteer Coordinator for 50/50 Program
	Name of Volunteer Coordinator
	Mailing Address
	City
	Daytime Phone
	Evening Phone
	Alternative Contact
	Email
	Fax

	Proposed Use of Funds In addition to the completed application form, applicant must submit a letter detailing how proceeds from the 50/50 Draw would be used.

	Send the letter to: Att: 50/50 Application 11230 - 110 Street Edmonton, Alberta T5G 3H7

	Application Checklist
	Has your association ever had to acquire a raffle license from Alberta Gaming and Liquor Commission for fundraising purposes?* Yes No
	How many players are registered in your minor sports association?*
	Are you able to provide 62-65 volunteers over the age of 18?* Yes No
	Are there any dates that your group will be unable to work a 50/50? Please specify dates:

	Please do not follow up on the status of your applications. If selected, your organization will be contacted by August 1, 2009. A list of all participating groups will be posted on the Edmonton Oilers website after participants are confirmed.  Applications must be submitted by 5:00 pm on Wednesday, July 3, 2009  to: Edmonton Oilers Hockey Club Fan Development Attn.: 50/50 Program 11230 - 110 Street Edmonton, AB T5G 3H7