Data Collection Information

We respect the data you will provide on this form and we will only use it within Douglas Macmillan Hospice to process your payment and contact you regarding your Lottery renewal. The data is entered in an information system and then archived on our secure server when no longer in use.

Fields marked with * are compulsory fields

Your Personal Details

All players must be aged 16 years or over

How Many Lottery Plays Would You Like?
1 Weekly Lottery Play
2 Weekly Lottery Plays
3 Weekly Lottery Plays
4 Weekly Lottery Plays

How Much Would You Like To Pay?

For 1 Weekly Lottery Play
£10 every 10 weeks
£26 every 26 weeks (6 months)
£52 every 52 weeks (1 year)
For 2 Weekly Lottery Plays
£20 every 10 weeks
£52 every 26 weeks (6 months)
£104 every 52 weeks (1 year)
For 3 Weekly Lottery Plays
£30 every 10 weeks
£78 every 26 weeks (6 months)
£156 every 52 weeks (1 year)
For 4 Weekly Lottery Plays
£40 every 10 weeks
£104 every 26 weeks (6 months)
£208 every 52 weeks (1 year)
          

Your consent to keep in touch with

Please tick below if you wish to receive:

Our Supporter Magazine 'DougieMag' by post

An annual invitation to increase your chances of winning with additional plays

Seasonal raffle tickets

Total Amount: £0

Lottery products must not be sold to any person under 16 years of age. Licensed by the Gambling Commission under the 2005 Gambling Act. www.gamblingcommission.gov.uk Lottery licence holder: K S McKenzie. Registered as a company in England and Wales: 3522075. RCN: 1071613 Please gamble responsibly: www.responsiblegamblingtrust.org.uk 020 7518 0023 www.gambleaware.co.uk 0808 8020 133