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 be asked to use a link to make payment from your bank account (to be taken on 28th 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.

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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