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Playing is easy. Simply complete the information below to take part.

1. Choose your Tickets

First Prize: £3,000

Draw Date: 19 December 2024

Ticket Price: £1.00 per ticket

Number of Tickets :

Optional Donation: £

Total to Pay:

£10.00

Please note we only accept payment by debit card due to Gambling Commission regulations.

I Pay UK Tax and wish to Gift Aid my donation: Yes No

I want to Gift Aid my donation to Midlands Air Ambulance Charity and any donations I make in the future or have made in the past 4 years. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference. I will inform Midlands Air Ambulance Charity if I am no longer eligible to claim Gift Aid or if my name and address change.

2. Your Information * Required information

Title: *

First Name: *

Surname: *

Email Address: *

Confirm Email Address: *

Telephone Number:

3. Your Communication Preferences

Keeping in touch

Your support saves lives so we’d like to keep in touch with information about our work and ways you can make a difference. We’d do that by writing to you, or rarely telephoning you, when we think we have something you’d be interested in, such as news, activities, and appeals.

Would you like to receive our emails too? It’s convenient, cost-effect and helps the environment

Yes I would like to hear from you by email

Yes I would like to receive a free booklet about leaving the Midlands Air Ambulance Charity a gift in my Will

If you’d prefer not to hear from us, or would like to change how we contact you, please get in touch by calling 0800 8 40 20 40 or emailing supportercare@midlandsairambulance.com. We keep your contact details safe and never pass them on to others for their own use. More information is available in our Privacy Policy on our website www.midlandsairambulance.com