Harleston Magpies Hockey Club Limited

LOTTERY

Please complete the form below to register for the Forever Magpies Lottery.

After completing the form and submitting it you will receive an email to confirm your email address to complete the process.

You will then need to set up a monthly Standing Order with your bank for the number of tickets you wish to purchase. The Bank details to use are:

Bank: Barclays
Sort Code: 20-17-20
Account Number: 53406784
Account Name: Harleston Magpies Hockey Club Limited
Amount: Each ticket requires a payment of £5.00
Your Reference: Use your First and Last Name
Date: Your standing order should be set up for the 28th day of each month

Your number(s) will be entered into the draw in the month following your first payment.

If you require any assistance, please email lotterypromoter@magpies-hockey.co.uk

Thank you for supporting Harleston Magpies Hockey Club.

* indicates required

Email Address *

First Name *

Last Name *

Address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Phone Number *

Publicity Consent *

YES, I agree to my name being used in publicity if I win a prize
NO, I do not agree to my name being used in publicity if I win a prize

Age Consent *

I confirm I am over 18 years of age

T & C Consent *

I have read and accept the Rules and Terms & Conditions of the Forever Magpies Lottery