Join or renew your lottery membership online

» Denotes a required field.

First Name: »
Last Name: »
Email: »
Confirm Email: »
Telephone: »
Mobile:    
Address: »
Town: »
Postcode: »
How did you hear about the lottery: »
How many weeks: »
How many numbers per week: »
Are you a new member: »
Membership Number:
(If known):		  

I would like to join St Elizabeth Hospice Lottery and I am over 16 years old »

We would like to keep you up to date with Hospice news and fundraising activities.
If you would like to receive this information, please tick

Please note that your details will not be passed on to any third parties in accordance with our privacy policy.

The requirements of the Gambling Act 2005 mean that St Elizabeth Hospice now has a statutory duty to verify that you are 16 years old or over and reside in the UK. It is an offence for anyone under the age of 16 to participate in a lottery. By submitting your request to join the lottery you are agreeing to St Elizabeth Hospice carrying out checks in any way it may deem appropriate. This may include reference to credit and government agencies