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Self Exclusion Form

We are aware that members, for personal reasons, may wish to exclude themselves from the Butterwick Hospice Lottery and other Prize Draws which Butterwick Hospice Lotteries may operate.

Butterwick Hospice Lotteries is able to help members do this at any time by you simply filling out the form below.

A senior member of staff will then contact you confidentially and descreetly, without need to discuss the reason for self exclusion, and explain our procedure and seek your final authorisation.

Members wishing to self exclude themselves from Butterwick Hospice Lottery and other Prize Draws will be unable to re-join or receive any correspondence for a period of at least six months. This period can be increased if necessary.

If you are currently paying by regular Credit Card payments, you will need to cancel your existing monthly subscription.

You also need to cancel any existing monthly payments by Standing Order, Debit/Credit cards by contacting your bank or card issuer.

Any monies outstanding on your Butterwick Hospice Lottery account will be refunded to you within one week of receiving authorisation for self exclusion.

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