If you are having any issues using the form below, please contact us on 01275 391 400 or lottery@stpetershospice.org
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Number of tickets (£1 per ticket, maximum 20): *
How often would you like payment to be taken? *
When would you like payment to be taken? *
Total: £{{calcAmount}} {{yourPaymentAmount}}
We would love to keep you updated with news about our work and fundraising activities and may contact you by mail or phone with updates or information we think you'd be interested in. See our privacy policy for more information on how we use and protect personal information. You can change the way we communicate with you at any time by calling us on 01275 391400, emailing communications@stpetershospice.org or writing to us St Peter's Hospice Fundraising Office, Unit 18 Orchard View, Estune Business Park, Pear Tree Avenue, Long Ashton, Bristol BS41 9FR.
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Is the account in your name and are you the only
signatory required to authorise this Direct Debit?
If you prefer, you can complete your Direct Debit instructions on a paper form. Please download and print the PDF version, completed with all the necessary signatures and send to us using the address on the form.
Read the Direct Debit GuaranteePlease download and print the PDF form, completed with all the necessary signatures and send to us using the address on the form.
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