Thank you for choosing to play our lottery

Please provide your contact and payment information below and we’ll be in touch with your unique lottery number. Good luck!

"*" indicates required fields

Facebook

This field is for validation purposes and should be left unchanged.

Donation Amount*

£26 - Play for six months

£50 - Play for a year

I am...*

a new player

renewing my subscription

Title*

Name*

First Last

Name of Organisation / Business / School (if applicable)

Address*

Street Address Address Line 2 City Post Code Country

Email*

Phone*

Total

Marketing Consent - Please contact me by:*

Phone

Post

No contact please

We would love to keep you informed about our projects and fundraising activities, so please opt-in to our marketing consents above. NOTE: by consenting to contact by email, you will also receive our monthly BraveHearts newsletter. If you change your mind and wish to alter your preferences or unsubscribe fully from our messages, you can do so at any time by emailing us at info@chsf.org.uk. Alternatively you can complete the form at chsf.org.uk/stay-updated. Your data is kept secure and confidential, and not shared with any others. Information about how we manage your data can be found in our Privacy Policy.

Credit Card

CAPTCHA

BACK