Personal Details

Details
*Title
*First Name
*Surname
*Contact No
Mobile No
*Date of Birth
*Email Address
*Confirm Email
Address
Enter postcode and optionally house number in address line1 then click 'Find Address'
*Postcode
*Address Line 1
*Town
County
*How did you hear about the Lottery?
*Please Specify:


Payment Details
Bank Details
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Dr. Kershaw's Hospice
Turf Lane
Royton
Oldham
OL2 6EU
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For any queries contact our Lottery Team on: 0161 624 9213

You will need your account details, which can be found on your cheque book or bank statement, to complete the direct debit instruction. Is the account in your name? Are you the only signatory required to authorise this direct debit? If not, please click here for a paper mandate (PDF format) which should be printed off and sent to us with all necessary signatures.