Two ways to Prepay: Use your Credit Card Use E-Transfer Two ways to Prepay: Use your Credit Card Gold Rush Pre-Pay Prepay 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 This field is hidden when viewing the formIs this a Gift?* Yes, I want to give the gift of Gold Rush No, this is my number This field is hidden when viewing the formDo you want to send an E Card?* Yes No Gold Rush Number*Player Name for this Number*This field is hidden when viewing the formRecipient Age* Over 18 yrsThis field is hidden when viewing the formEnd Day of PrePaid PeriodE-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 Payment DetailsName* First Last Address 1*Address 2City*Province: NBPostal Code*Phone*Email* Δ Use E-Transfer
