Gift Registration - St Cuthbert's Hospice

Thank you for choosing to purchase a Win Win Lottery Gift.

Please complete and submit the form below. Once we have received this, a member of the Lottery Team will be in touch with you via telephone to arrange payment via card.

First name*

Last name*

Full Home Address

Postcode*

Email Address*

Telephone

Recipient Name(s)*

Subscription Length (Minimum of 3)

Consent to pay

I confirm that I am over 16 years old and a resident of Great Britain tick the box

Keep in Touch

From time to time we would like to send you information about our news and activities. We will only use your information for the purpose it was collected, or for similar/related purposes. Your information will be handled in accordance with our Data Protection Policy. You can update your preferences at any time by contacting our Database Administrator on 0191 374 6166. Please tick to give consent to receive these by:

EmailSMSIf you would prefer NOT to receive information by POST please tick here

Gamble Responsibly

If you want to have a break from gambling you can use our self-exclusion option. Call us on 0191 374 6176 or email hello@stcuthbertshospice.com.

If you need to talk to someone about problem gambling then contact GamCare Telephone 0845 6000 133 (UK local rate) www.gamcare.org.uk

Players must be aged 16 years or over to play the Lottery or claim a prize.

Terms & Conditions apply.