Please complete the below form regarding our proposed members draw. Members Draw Name * Email * Membership Number (Optional) How many £5 entries would you be likely to purchase * Sorry I am not interested in the draw 1 - £5 per month 2 - £10 per month 3 or more enteries per month What would your prefered method of payment be * Monthly Standing Order Cheque / Cash - Annual Payments Cheque / Cash - 6 Month Advance Payment Cheque / Cash - 3 Month Advance Payment Suggested name for the Draw (Optional) Any other comments regarding the proposed draw (Optional) Checkboxes * By using this form you agree with the storage and handling of your data by this website. Submit
