Lottery Registration Form

Registration Form

Rescue Animal Lottery
Thank you for your interest in taking part in our Rescue Animal Lottery - you are about to do something amazing for animals in need in Cornwall!

Our branch is not funded by the RSPCA, so your contribution to our lottery will go towards helping us rescue, rehabilitate and rehome hundreds of animals every year. The money raised from our lottery stays with our Branch to directly support our work in Cornwall.

Please complete your details below. You are welcome to set up your own Standing order to the account details provided, or we can forward you a paper Standing order form to complete and return. If and if you have any questions, please email lottery@rspcacornwall.org.uk
Your details
Full Name*

First NameLast Name
Address*

CityCounty

Postcode
E-mail
example@example.com
Lottery Number Information
How many numbers would you like?*
If you have indicated that you would like more than 5 numbers, we will contact you.
Please choose your number preference(s) from 1-100 below:
Please note that if your chosen number(s) are already taken, we will allocate your random number(s) from those still available.
Please tick to indicate that you understand that each number chosen will cost £1.25 per week, and therefore £5.00 per month*

Yes
We will require a Standing Order for your lottery subscriptions please. You can either set this up yourself via your bank with the account details shown below, or request a Standing Order form which we can post out to you to complete and return. Please indicate below:

I will set up my own Standing order for £5.00/lottery number/month to the bank details provided below.I would like a Standing order form sent to me in the post
If you wish to set up your own Standing Order via your bank for your lottery subscription, please use the follow details:

Account name: Royal Society for the Prevention of Cruelty to Animals Cornwall Branch

Account Number: 54337260 Sort Code: 30-98-76

Reference: Lottery

This is a business account
Do you consent to us adding you to our mailing contact list to receive newsletters and other information about the Branch?

YesNo
By submitting this form, you are confirming that you are over the age of 16 to legally participate in this lottery. Please see the Gambling Act 2005 or follow the link for further information:

Gambling Act 2005 (legislation.gov.uk)
Should be Empty:

Registration Form

Your details

Lottery Number Information

By submitting this form, you are confirming that you are over the age of 16 to legally participate in this lottery. Please see the Gambling Act 2005 or follow the link for further information: