Lottery Exclusion Form

 
If you would like us to exlude you from the Sobell Lottery and/or any other gambling related activities such as raffles/competitions that the Sobell Lottery may undertake please send us the following details

Please exclude me from your lottery with immediate effect and do not make any direct contact with myself during my exclusion period.
(We will exclude you for a period of 6 months from the date of the form unless you stipulate an alternative specified time period).

Name: 

Address: 

Lottery name: The Sobell Lottery

Membership number (if applicable) 
  
Date:  

Comments: 

Please return these details to: -
Sobell House Hospice Lottery Manager
Sobell House Hospice Charity
Churchill Hospital
Headington
Oxon
OX3 7LJ

or email them to mail@sobellhospice.org

Terms and Conditions:
Social Responsibility Policy:
Self Exclusion Policy:
Complaints Procedure: