Age Verification

Please enter your date of birth

(Please note you must be 16 or over to play)

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You must be at least 16 years of age to participate in this Raffle
Your Details

Your Details


Your Address


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Raffle Details

Your Preferences

As a valued supporter we really want to keep you posted about news and events across St Gemma’s and to share how your support benefits local patients and their families. We usually get in touch by post but if you would also like to receive email updates please let us know below. Rest assured, we will never sell your personal information to third parties.


If you wish to change how contact you or if you no longer want to hear from us you can call us on 0113 218 5555, email us at [email protected] or you can update your preferences online at www.st-gemma.co.uk/mydata. For further information on how we use and store your details please visit www.st-gemma.co.uk/privacy. 
 


Would you also like to receive emails from us regarding our charitable work?

 

Do you agree to have your name publicised in the event of you winning a prize?

 

Your Tickets


Summer Raffle 2022

Closing Date: 24/08/2022
Draw Date: 31/08/2022

How many tickets would you like?


🎫

Include a donation with your entry:


£

Add 25p to every £1 you donate – at no extra cost to you

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given.

(Please tick if applicable)
Date: 04/07/2022

Please notify us if you change your name or home address, or no longer pay sufficient tax on your income and/or capital gains, or want to cancel this declaration.

 
Tickets:  £ £
Donation: £

Total: £