Red or Black Club Entry Form
  • Red or Black Club Entry Form


  • I am ...*
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    You can purchase up to 5 tickets at £20 per ticket per draw.  Each ticket gives you one entry to the draw and one chance to win a prize.

    Type the sequence of reds and blacks for each ticket you wish to buy in the boxes below.  Each sequence must contain 7 letters, using 'R' for Red and 'B' for Black.

  • You are purchasing {tickets} ticket(s) at a total cost of £{totalCost} per draw (£{costPm} per month).  When you click 'SUBMIT' you will be taken to GoCardless to set up a direct debit as follows:

  • My subscription*

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      Red or Black Club
      GBP for each month
        
    • Proceeds from the lottery will help to fund local good causes and charitable projects.  Let us know if there are any specific causes that you would like us to support.  This will somewhat influence how funds are distributed.

    • I enter the Red or Black Club in support of [tick one or more]...
    • Please nominate a bank account to receive payments if you win a cash prize.

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      Now just click 'SUBMIT' to set up your direct debit and register your subscription.

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