Random selection registration form

Please fill out the form below to register for the Fonds' random selection. If selected, you will have the opportunity to contribute via bank withdrawals.
To learn more about the random selection, important dates, and the selection process, please consult the information page.
All fields are required.
Important:You will not be able to make changes once you have submitted your registration form.

Personal information

If you're selected, this information will enable us to verify your identity and your opportunity to contribute under the random selection.

Total desired amount

$

Maximum $5,000.

If you're selected, you can reduce your contribution, but you can't increase it. To learn more, consult the Random Selection Conditions.

Consent

By submitting your random selection registration form, you consent to the use of your data strictly as required for the random selection (registration, selection, and contribution).

Please confirm your consent by checking the boxes below.

Important: Make sure your information is correct. You will not be able to make changes once you have submitted your registration form.

Need help?

If you have questions or experience technical difficulties, you can reach us at 1-800-567-3663, Monday to Friday, from 8:30 a.m. to 5 p.m. Our agents will be happy to help!