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Self Exclusion

If you want to have a break from gambling, you can use the self-exclusion option for our lottery.

By completing the Self Exclusion form, you are agreeing to the following –

I wish to be excluded from the St David’s Hospice Lottery with immediate effect and not to be contacted during my exclusion period.

We will close your account for a minimum period of six months, during which time it will not be possible for the account to be re-opened for any reason.

I recognise that I am unable to modify or withdraw my self-exclusion until the above period has elapsed. I also understand that I will not be sent literature about our raffle during this time.

I understand that St David’s Hospice will take all reasonable measures to support this exclusion but the responsibility remains with me to comply with this agreement.

Full Name(Required)
Address(Required)
I would like to exclude myself from the following:(Required)