Quit to Win! Challenge

To fill out to be eligible for the prize draw and to get support.

First name*

Birth year (e.g. 1985)*

Sex*: Male Female

Postal code*

I’m quitting smoking on:

To be eligible for the Quit to Win! Challenge, you must stop smoking between December 15, 2022 and February 6, 2022 and not smoke from February 6 to March 19, 2023 inclusively.

I QUIT Now helpline

Quebec residents only

I would like a specialist from the I QUIT NOW helpline to call me in the coming weeks to get personalized support to help me quit smoking. During this time, it is possible to talk to a specialist of the I QUIT NOW helpline at 1-866-527-7383.

Phone number*

When is the best time to reach you?*
Morning Afternoon Evening

I have read and understood the Quit to Win! Challenge rules.

REGISTER

By clicking on Register, you agree to receive motivational newsletters from the Quit to Win Challenge! and Capsana's other programs. You may unsubscribe at any time.

* Mandatory ** Rules and regulations available at quitchallenge.ca

Congratulations, !

You are for the Quit to Win! Challenge.

You will receive a confirmation email shortly.

Log in to your online profile

** Rules and regulations available at quitchallenge.ca