Supporting
Personal Details
Details
*Title
*First Name
*Surname
Landline No
Mobile No
*Date of Birth
You must be 16 or over to enter. By ticking this box you are confirming you are 16 or over. It is an offence to enter a lottery under the age of 16
Email Address
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Address*
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*Postcode
Alternatively, enter your address manually
*Town
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We would like to keep you informed about this lottery and other fundraising and marketing activities using the contact details you have supplied. Please select which methods of communication you are happy for us to use:
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Allow contact from Prize Provision Services - (tick all that apply)
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Entry Details
Bank Details
Safe, Guaranteed
This lottery uses an approved BACS Bureau for direct debit collections and is administered by Prize Provision Services who are licensed by the Gambling Commission
Prize Provision Services
NBV Enterprise Centre
Nottingham
NG6 0JU
For help, contact 0115 888 1222 or
join@sportsclublottery.com
Is the account in your name? Are you the only signatory required to authorise this direct debit? If not, please click
here
for a paper mandate (PDF format) which should be printed off and sent to us with all necessary signatures.