Choose your number of entries *

* = Required field

1. entry per week – £4.34 per month
2. entries per week – £8.68 per month
3. entries per week – £13.02 per month

Your personal details

Title *

First name *

Surname *

Email address *

Confirm email address *

Home/landline telephone number

Mobile telephone number

Enter your postcode including any spaces

Tick here to enter your address manually

You must be a UK resident to enter this lottery.

Address 1 *

Address 2

Address 3

Town *

County

Postcode *

Contact Preferences

We may contact you by post and phone about how you can get involved with fundraising, events, products we sell and how we campaign, using the details you’ve provided.

Please let us know if you’re also happy for us to contact you by email and text:

Yes, please contact me by email.

Yes, please contact me by text.

Thank you for trusting us with your data. We'll do all we can to keep it safe. To find out more about how we use and manage your personal data and your rights you can see our full privacy notice at www.brentfordfccst.com/about-us/our-policies/privacy-policy/.

You can also update your details or change the way we contact you by emailing communications@brentfordfccst.com or calling 0208 8326 7030.

Terms and Conditions *

I have read and agree to the Terms and Conditions and Privacy Policy of this service

Over 18 You must be at least 18 years or older to enter

I confirm I am 18 years or over

Where did you hear about our lottery? *

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