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Ketton Lotto Registration

Name

Address

Postcode

email address

Phone Number

I agree to the KETTON LOTTO rules and wish to register for the following number of draws (check one only)

One draw (£15)

Two draws (£28)

Three Draws (£41)

I will complete (have completed) a standing order to my bank to authorise annual payment of £15/£28/£41 on or before 10 January each year.

Payment to be made to Kedington Community Association, Lloyds Bank Plc. Sort Code 30 99 15 Account number 27831568 Reference: LOTTO-YOURNAME

You will be advised of your draw number(s) as soon as registration is complete and payment has been confirmed. Thank you for your support. Good Luck.

kedington-community-association.org.uk | Registered charity number 304906

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