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Complete the form below to join the lottery.

You must be 16 or over to join the lottery

Number of Entries. Each entry costs £1 per week. The first monthly payment will be £6.34 per line, followed by regular monthly payments of £4.34 per line. Your first monthly payment will be £2 higher per line than your regular payment to avoid missing a draw in a 5 week month.

Title *

First Name *

Last Name *

Date of Birth *

Address Line 1 *

Address Line 2

Address Line 3

Address Line 4

Town/City *

Postcode *

Phone Number *

Email *

Bank Account Holder's Name *

Sort Code *

Bank Account Number *

Allow Club Communications

Email

Phone

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Allow Support Sport Communications

Email

Phone

Text

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Please confirm that the account is in your name and you are the only signatory required to authorise this direct debit. If this is not the case please download and complete a paper mandate below. *

Confirm

Please confirm you have read the terms & conditions *

Confirm

Service User Number 187370

This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits
If there are any changes to the amount, date or frequency of your Direct Debit BPS re: SUPPORT SPORT CIC will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request BPS re: SUPPORT SPORT CIC to collect a payment, confirmation of the amount and date will be given to you at the time of the request
If an error is made in the payment of your Direct Debit, by BPS re: SUPPORT SPORT CIC or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society. If you receive a refund you are not entitled to, you must pay it back when BPS re: SUPPORT SPORT CIC asks you to.
You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

The Direct Debit Guarantee

Personal Details

Bank Details

Instruction to your Bank or Building Society to pay by Direct Debit

Instruction to your Bank or Building Society
Please pay BPS re: SUPPORT SPORT CIC Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with BPS re: SUPPORT SPORT CIC and if so, details will be passed electronically to my Bank/Building Society.

NOTE: Banks and Building Societies may not accept Direct Debit Instructions for some types of accounts.