Personal details

Details
*Title
*First name
*Surname
Home phone number
Mobile number
*Date of birth
I confirm that I am over 18 and a resident of Great Britain
*Email address
Address
Enter postcode (and optionally house number in Address line 1) then click 'Find address'
*Postcode
*Address line 1
*Town
County
*What has made you join the lottery today?
Please Specify:

*I am happy for you to send me a half-yearly charity magazine.

*If I am a prize winner, I am happy for my name and town to be used on the charity website and in promotional material.
Keeping in touch
We would love to keep you updated on our news, campaigns and events, and how you can support our work. Please tick below to let us know how you would like to be contacted.
*Post:
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*Phone:
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If you currently receive communications from the Charity, please be assured that your details will not be passed on to third parties, unless it is to support the charitable objectives of Dorset and Somerset Air Ambulance. We never sell your data and we will never share it with another company or charity for marketing purposes.

If you no longer wish to receive communications from us, you can opt out at any time by calling: 01202 849530 or emailing: lottery@dsairambulance.org.uk

Payment details
Bank details
Dorset and Somerset Air Ambulance Lottery Office
Unit 3
Brook Road Industrial Estate
Wimborne
Dorset
BH21 2BH
DDLogo


For any queries contact us on: 01202 849530

If your account requires dual signatories to authorize a direct debit, please download and complete a paper mandate.