Unity Logo The Unity Lottery
Freepost RLZR-GSYJ-KSZA
Barrow-in-Furness
LA14 2PE
0370 050 9240
info@unitylottery.co.uk
 
Your Charity : Tree of Hope
 
Direct Debit Sign Up - Unity Lottery DD Logo

For any queries contact our Helpdesk No: 0370 050 9240
You will need your account details, which can be found on your cheque book, to complete the direct debit instruction. Is the account in your name? Are you the only signatory required to authorise this direct debit?
If not, please click here for a paper mandate (PDF format) which should be printed off and sent to us with all necessary signatures. If you do not have Adobe PDF Reader please click here to download it.


Please complete the following information:
 
Lottery Details...
 
Are you an existing Tree of Hope lottery member :
If yes please enter your member numbers if known (separated by a comma) :
Office Use Only:
Personal Details...
 
Title: *
Forename(s): *
Surname: *
House Number/Name: *
Post Code:  *
Telephone Number: *
Mobile Number:
E-Mail:
Date of Birth: format ddmmyyyy optional
I confirm that I am over 16 years of age: *
You must be over 16 years of age to participate in this lottery
Sex:
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Debit Details...
 
Number of Lottery Tickets
Payment Frequency:
Payment Amount £: Calculated based on number of tickets and payment frequency
First Payment Date : This will be communicated by letter, with your lottery number.
 

Bank Details...
 
Account Name: *  
Sort Code: *  
Account Number: *  
     
bank account information for NatWest, GiroBank, National Savings Bank or Co-operative Bank account holders
  By using this service you accept our terms and conditions
 
direct debit guarantee
If you wish you can read the Direct Debit Guarantee by clicking on the logo to the left, but it is displayed at the end of the sign up to read to telephone customers.