Play Our Lottery Form

£1.00 per number up to a maximum of 25 numbers, if you wish to have more numbers please contact Queenscourt Hospice on 01704 544645

123+

Required

Other amountRequiredPlease select an option

Payment Method

Debit Card Regular Payment

Required

You will now be redirected to our direct debit form.

Over how many weeks would you like to play?Required

The minimum term you can play is 13 weeks at a time.

Please select an option

How did you hear about Queenscourt Lottery?Please select an option

What is the main reason for supporting Queenscourt?Please select an option

Please state other reason for supporting Queenscourt