Gold Rush e-Transfer Pay your Gold Rush Number by e-Transfer Gold Rush E-TransferPrepay Period* 12 Months ($104.00) 6 Months ($52.00) I want to:* Get a new Gold Rush Number and Prepay it Prepay an existing Gold Rush Number HiddenIs this a Gift?* Yes, I want to give the gift of Gold Rush No, this is my number HiddenDo you want to send an E Card?* Yes No Gold Rush Number*Player Name for this Number* HiddenRecipient Age* Over 18 yrsHiddenEnd Day of PrePaid Period E-Card DetailsSender: who to say the gift is from* Recipient Name* First Last Recipient's Email* Recipient's Phone Number*Message to Recipient*If you know their Address it would be really helpful... Fill in what you know Street Address City, PROVINCE: NB Postal Code Your Contact InformationName* First Last Phone*Email* Bank DetailsYour Bank (pick your Bank from this list):*--Select your bank--Royal Bank (RBC)ScotiabankNational Bank of CanadaCIBCBMO Bank of MontrealTangerineTDBeaubear Credit UnionBlackville Credit UnionName(s) on bank account Email to: etransfer@bgcmiramichi.com Tips on sending the E-Transfer: 1. On your banking site, add us as a Contact: Gold Rush BGC 2. Email is: etransfer@bgcmiramichi.com Pay $52 for six months or $104 for a year* I understand that I must continue to my banking site to send my e-transfer once I send this form.
