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

1. Choose your Tickets

First Prize: £2,000

Draw Date: 12 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 Pilgrims Hospices 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 Pilgrims Hospices 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

We would like to contact you to keep you informed about how your support has helped and share with you information about other ways you may wish to support us.

Please indicate the ways in which you are happy to hear from us:

Yes You may contact me by email

Yes You may contact me by telephone

No I would prefer NOT to be contacted by post

4. How did you hear about us?

Please specify

5. Terms and Conditions

*

I have read and agree to the Terms and Conditions and Privacy Policy of this service.

* I'm 18 years or older.

You must be 18 years of age or over to play online.

6. Your Address Details

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Address Line 2:

Address Line 3:

Town/City: *

Postcode: *

Country: *

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