Personal Details

Details (*indicates a mandatory input)
*First Name
Home Number
Mobile Number
*Date of Birth
*Email Address
*Confirm Email
Enter your postcode, then click ‘find address’ to automatically populate your address.

As you have chosen to support our Heart of Kent Hospice Lottery we will record your contact details on our fundraising database and let you know about other Heart of Kent Hospice Lottery related activities in the future. You can let us know about your other interests by ticking the boxes below. If you do not tick any of the boxes we will not contact you about these additional areas. If you want to change how we communicate with you, please get in touch at or 01622 790195.

Fundraising Activities:
Remembrance Activities:
Hospice News:
Anything else you think I'd be interested in:

Further information on how your personal data is used and the third party agencies it is shared with to provide our weekly lottery draw is available in our Privacy Policy at

Payment Details
Bank Details
Heart of Kent Hospice Lottery
Barrow in Furness
LA14 2PE


For any queries contact our Supporter Care No: 0370 085 8849

You will need your account details, which can be found on your cheque book or bank statement, to complete the direct debit instruction. Is the account in your name? Are you the only signatory required to authorise this direct debit? If not, please click here for a paper mandate (PDF format) which should be printed off and sent to us with all necessary signatures.

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