JOIN OUR LOTTERY

Be in with a chance to win 23

Your details (please print in BLOCK CAPITALS)

Postcode

Telephone  Email

Yes, I am happy to receive email updates about Julia’s House news, events and appeals

You are free to change your mind at any time about how we may contact you. For example, if you no longer wish to receive postal information. Simply call our Supporter Care team on 01202 644220. Your details are safe with us and we will never sell or share them with anyone else. To find out more about how we use your data, view our Privacy Policy: juliashouse.org/privacy

Cardholder’s Name(s)

Card Number*

Title First Name Surname Address (Given on the 1st or 15th of the month or nearest working day after)

Pay by Direct Debit

Instruction to your Bank/Building Society to pay by Direct Debit.

To The Manager at Bank / Building Society

Address

Name(s) of account holder(s)

Branch Sort Code

Bank/Building Society

Account Number

Service User Number 4 3 9 8 4 4

Instruction to your Bank/Building Society

Postcode

Reference (For office use only)

Please pay Julia’s House Ltd Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with Julia’s House Ltd and, if so, details will be passed electronically to my Bank/Building society.

Signature(s)

Date

Banks and Building Societies may not accept Direct Debit instructions for some types of account.

Your consent Office use only: NEWS2023SPRING I confirm I am over 16 I would like to donate all winnings to Julia’s House Date of birth / / Data used to confirm you are over 16 years old, internal use only.

Please return your completed form to Freepost Julia’s House or join at juliashouse.org/lottery

/

Please tick one box below to select the frequency of your payment 2

Entries Monthly £4.34 Monthly £8.68 £13 every 13 weeks £26 every 13 weeks £26 every 26 weeks £52 every 26 weeks £52 every 52 weeks £104 every 52 weeks

Pay by cheque 3

Please make cheques payable to Julia’s House and fill in the Your Membership box above

For more than two weekly entries, please call our Lottery Hotline on 01202 644220

The promoter of Julia’s House Lottery is Martin Edwards. Julia’s House, Ground Floor, Allenview House, Hanham Road, Wimborne BH21 1AS. Registered with The Gambling Commission under the Gambling Act 2005 (gamblingcommission.gov.uk) Registration No. 000-039939-N-319913-010. Charity No. 1067125. Access support from: GambleAware begambleaware.org.

Julia’s House promotes responsible gambling. Players must be 16 or over and a Great Britain resident. For lottery terms and conditions go to: juliashouse.org/lottery.

In 2022, 64% of lottery proceeds – £366,156 – went back to the charity to provide vital care, 14% was spent on prize money and 22% on expenses such as administration and marketing the lottery.

You have a 1 in 468 chance of winning one of our weekly prizes (correct as of 25/01/2023). Entry