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Lottery Gift E-Voucher
To pay via **debit card only please fill out all the required fields (marked with*). Registrants must be aged 18+ or older. Refunds may occasionally be offered at the discretion of the management.
**From 14th of April 2020, UK residents will be banned from using credit cards to gamble following an announcement from The Gambling Commission. The ban has been created in an effort to reduce the potential harm and risks of gambling. This includes the purchase of Lottery memberships (new and/or existing) online, over the telephone or by email.
Recipients Details
Title
*
First name
*
Surname
*
Friendly name
To be featured on E-voucher
Phone
*
Email
*
Additional information
Your details
Title
*
First name
*
Surname
*
Email
*
Phone
*
Address (Must be cardholder's address)
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Voucher information
Type of Voucher
*
Birthday Voucher
Christmas Voucher
Friendship Voucher
Anniversary Voucher
Wedding Voucher
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Accepted file types: jpg, jpeg, png, gif.
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Message on e-voucher
Skip if you would like a default message
Number of entries
1 entry
*
None
13 weeks/ £13
26 weeks/ £26
52 weeks/ £52
2 entries
*
None
13 weeks/ £26
26 weeks/ £52
52 weeks/ £104
3 entries
*
None
13 weeks/ £39
26 weeks/ £78
52 weeks/ £156
Age restrictions
Are you over 18+?
*
Yes
Are they over 18+?
*
Yes
Total
£ 0.00
Keeping in touch
We would love to keep in touch to let you know how your support is making a difference, update you about the winning numbers and other ways you could support the Hospice.
Please tell us how you would like to be contacted by the Hospice.
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I'd rather not be contacted by the Hospice
Thank you. We will keep your details safe and will only use them as outlined in our privacy policy.
Where did you hear about the lottery? eg. Fundraiser at venues
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Hospice website
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Please read our lottery Terms and conditions
_on our website.
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