Header Image

I would like to pay

  • for one entry per week for 10 weeks
  • for one entry per week for 25 weeks
  • for one entry per week for a year

Your Information

Name

Contact Details

About you

Terms and Conditions

   
* Please confirm you have read the Terms and Conditions (above)


* At Your Hospice Lottery, we’re committed to protecting & respecting your privacy in everything we do, and we will use your personal information to fulfil your request. We may also contact you by email, phone or text to tell you more about other ways you can get involved with Your Hospice Lottery, including more chances to win and other lottery games.

We may get in touch about other ways you can help by post. If you’d like to know more about what we do with your personal information, please read our privacy notice at www.yourhospicelottery.org.uk/privacy.aspx You can update your preference, or stop communications at any time by contacting us on 0800 285 1390.




* Which hospice do you want your membership to support?


* Please help us to understand which advertising works by telling us where you heard about the lottery?


* You must be 18 or over to play Your Hospice Lottery



* Date of birth


Is this a gift for somebody else?


Any other comments?


Are you renewing your existing membership?


Existing Membership Number


If you’d also like to hear from your chosen hospice about their services and other ways you can help, please tick the below. Your chosen hospice will be responsible for the data once we pass it to them and they will have their own privacy notices that you should read. They may get in touch about other ways you can help them by post. Yes, I’d like to hear from my chosen hospice by:




Payment Information

If you do experience any problems with your transaction it might be us not you! Should your transaction decline, please click this link and restart again www.yourhospicelottery.org.ukor call 0800 285 1390

(?)

St Helena Hospice Limited is licensed and regulated in Great Britain by the Gambling Commission under account number 4685