I would like to: Renew my staff 50.50 lottery membership Opt-out of the staff 50.50 lottery Name(Required) First Last Employee #(Required)Email(Required) Declaration for Renewal(Required) Yes, keep me enrolled in the staff lottery for another year Declaration for Opt-Out(Required) Yes, remove me from the staff lottery Want to Add A Payroll Donation?Yes, I would like to add Yes, I agree to adding more entries CommentsThis field is for validation purposes and should be left unchanged.
