Self-exclusion

Gambling Commission - Licence Conditions and Code of Practice

If you feel you have a problem with gambling and would like to request that Ardgowan Hospice excludes you from all of its gambling related activities, including receiving gambling related marketing materials, you can simply complete and submit the form below.

I have a gambling problem and therefore wish to be excluded immediately from all of Ardgowan Hospice's gambling related activities, including receiving any gambling related marketing materials from Ardgowan Hospice, for a minimum period of:

I acknowledge that I will not be allowed to rescind my self-exclusion during this period.

Following our successful completion of your self-exclusion request:

Your chosen self-exclusion period will remain in force with Ardgowan Hospice, for a minimum of 7 years
Ardgowan Hospice will not send you any gambling related marketing materials, unless and until you specifically request us to do so.

Please ring the Ardgowan Lottery helpline on 01475 730747, if you wish to extend your chosen self-exclusion period (minimum 6 months extension).

Personal details

Title*:

First name*:

Last name*:

Date of birth*:

Email address*:

Verify email address*:

Contact number*:

Enter your house number/name and postcode, then click 'Find address'

House number/name:

Enter Postcode and click "Find my address" or click "Enter address manually"

Postcode:

Enter address myself

House number/name*:

Address line 2:

Address line 3:

Address line 4:

Town*:

County:

Post code*:

I acknowledge my responsibility in ensuring adherence to this agreement. I acknowledge that the Promoter, its employees or agents have no liability or claims arising from my voluntary use of the gambling facilities provided.