Ardgowan Hospice - Your entry

1. Your entry
2. Payment
3. Confirmation

To enter the Ardgowan Hospice Lottery you must be age 16 or over and live in Great Britain. *Mandatory fields

How many entries would you like?

Payment is by Direct Debit, £5* per calendar month per entry. You can buy 1 or 2 weekly entries.

1 entry per week - £5 per month*

2 entries per week - £10 per month*

^*Your £5/£10 per month subscription will ensure that you never miss a draw and any excess pence that don't play in a draw will be gratefully accepted as a donation by Ardgowan Hospice

Please Gift Aid my donations

We are unable to benefit from Gift Aid on Lottery Subscriptions, but we can boost any Donations received in the last 4 tax years/and any made in the future, by 25p in every £1, if you could please sign up to Gift Aid.

Declaration: I am a UK taxpayer and I would like Ardgowan Hospice to treat this donation and any donations I make in the future and have made in the past 4 years as Gift Aid Donations, until I notify you otherwise. I understand that if I pay less Income Tax and/or Capital Gains Tax that the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. I understand that Ardgowan Hospice will reclaim 25p of tax on every £1 that I give. Gift Aid is reclaimed by Ardgowan Hospice from the tax that I pay for the current tax year. Please let us know if your tax circumstances or name and address details change so we can amend our records.

Entrant details

Title*:

First name*:

Last name*:

To comply with Gambling Commission regulations and prevent under age gambling, we must confirm that you are 16 years of age or over to enter our lottery.

Date of birth*:

Contact details

Please enter a valid email address to allow us to confirm details of your lottery entry to you.

Email address*:

Verify email address*:

Providing a contact number allows us to contact you with any queries regarding your lottery subscription and lets us contact you more easily if you win!

Telephone number*:

House number/name:

Click to find address or to enter address yourself.

Postcode*:

House number/name:

Address line 2:

Address line 3:

Address line 4:

County:

Town:

Post code:

Contacting You

From time to time we’d like to keep in touch to let you know about the vital work we do and how you can support us and get involved. Please let us know your contact preferences - we promise never to sell your data.

Please tick the boxes and provide your details below if you’d like to hear from us by:

Telephone

Please tick if you do not wish to receive post

You can change your mind at any time by calling (01475) 726830 or writing to 12 Nelson Street, Greenock, PA15 1TS.

For further details on how your data is used and stored by the hospice, please write to us at 12 Nelson Street, Greenock, PA15 1TS. All information provided by you is held by Ardgowan Hospice Limited in accordance with the Data Protection Act 1998.

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