Lottery and Raffle Self Exclusion Form

We understand that you may, for personal reasons, wish to exclude yourself from the St Rocco’s Lottery, Raffles and our marketing related to the Lottery and Raffles and will make every effort to assist you to do so and to offer further advice at your request.

To exclude yourself from the St Rocco’s Lottery and Raffles please complete the form below, which will be held by St Rocco’s Promotions Ltd for the duration of the agreement.

On receiving a completed Self-Exclusion Form we will exclude you from the St Rocco’s Lottery and Raffles for a minimum period of 6 months from the agreement date.

During the exclusion you will not receive any marketing materials related to gambling activity from St Rocco’s Hospice (which includes, but is not limited to lottery and raffle).

At the end of the agreement you can review your exclusion with the Lottery Manager and choose to either extend or end the agreement.

**If you simply wish to cancel your lottery and not be self excluded, please call us on 01925 575780 or email lottery@stroccos.org.uk and we can action this for you.**

Lottery FAQ's

Lottery and Raffle Self Exclusion Form

Please exclude me from your Lottery and Raffles with immediate effect and do not make any direct contact with myself during my exclusion period.

Full Name *

email *

Address *

Membership number (existing members only):

Comments

Signature *

Important Information

St. Rocco’s Promotions Ltd is a subsidiary of St. Rocco’s Hospice which operates the St. Rocco’s Hospice Lottery and raffles. It is registered in England and Wales under the company number 03034626. Promoter: St. Rocco's Promotions Ltd, Lockton Lane, Bewsey, Warrington, WA5 0BW.

All profits go to St. Rocco’s Hospice, registered charity no: 511592. St. Rocco's Promotions Ltd is licensed and regulated in Great Britain by the Gambling Commission under account number 5088. Responsible Person: Eric Russell. www.gamblingcommission.gov.uk.

Must be 18 or over to play. Underage gambling is an offence. By entering our St. Rocco's Lottery you are acknowledging that you are aged 18 or over. The St Rocco’s Lottery is open to residents of England, Wales and Scotland ONLY.

Gamble responsibly. For practical help and support on problem gambling, contact GAMCARE www.gamcare.org.uk on T: 0808 802 0133 or visit www.gambleaware.org.

Please see here for more information and our full T&C's