Sign up to the lottery

Unique ID
How many plays would you like to buy?*
Are you looking to set up a regular lottery direct debit (starting at £4.34 per month)? If so, please visit our lottery direct debit page
Other*
Eligibility*
- Please tick to confirm you are 18 years of age or over AND that you live in the UK

Your details
Title*
Other*
First Name*
Last Name*
Email address*
We will use your email address to confirm and acknowledge your donation.
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Keep in touch (email)
- Please tick here if you are happy to receive emails about our work and future events and appeals.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mobile/Telephone*
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Keep in touch (Phone & SMS)
- Please tick here if you are happy to receive occasional telephone calls about our work and future events and appeals.
- Please tick here if you are happy to receive SMS text messages about our work and future events and appeals.
How did you hear about the Hospice lottery?*
Which shop did you see the lottery advertised in?*
All shops are Trinity Hospice unless stated otherwise

Your details