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'. All participants of Bolton Hospice Lottery Ltd games must be a resident of Great Britain.
*Postcode
*Address line 1
*Town
County
*How did you hear about us?
Please Specify:
Do you have a promotional code?
The personal information you have provided to Bolton Hospice will be processed in accordance with current UK data protection legislation and our privacy policy which is available to view at www.boltonhospice.org.uk or upon request. The main purpose for which we process your personal information is to administer your lottery membership but for further information please see our privacy policy. Your information will be held securely and we will never sell it to anyone else. You can change your contact preferences at any time by calling us on 01204 663 055 or emailing fundraising@boltonhospice.org. We’d like to contact you with information about upcoming fundraising activities and how your support is helping. Please tell us if you are happy for us to do this (tick relevant boxes):
Payment Details
Bank Details
Bolton Hospice Lottery Ltd
Bolton Hospice
Queens Park Street
Bolton
BL14QT
DDLogo

Email: lotteryadmin@boltonhospice.org

For any queries contact our helpline: 01204 663077

Are you the only signatory required to authorise this direct debit? If not, please contact us for a paper mandate which should be completed and sent to us with all necessary signatures.