- St Michael's Hospice

Prize Money Claim Form

Are you a winner? Congratulations! If you’ve won one of our 24 weekly cash prizes with a single play lottery ticket, please complete and submit this form to claim your prize.

About You

If you care having any difficulties completing this form, please contact the Lottery Team on: 01432 851000 and we will be happy to assist you.

Your Name(Required)

Title First Last

Your Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

Date of Birth(Required)

How can we reach you?

We might need to get in touch to discuss your claim with you. Please let us know the best way to get in touch with you.

Your Phone(Required)

Your Email Address(Required)

Email Address Confirm Email Address

Preferred Method of Contact

Best Time to Call You(Required)

Your winning ticket!

This is where you complete all of the required information to enable us to verify your claim. If at any point you need some help, please email: lottery@smhospicehereford.org or call: 01432 851000. This claim will be processed within 7 working days and you will receive their winner’s cheque within 10 working days.

Where did you purchase your ticket from?

7-digit ticket number(Required)

This will be printed on your ticket and is 7 digits long

Prize you are claiming

The most recent winning numbers and associated prizes can be found here: https://www.st-michaels-hospice.org.uk/lottery#winner

Please upload an image of your winning ticket(Required)

Drop files here or

Max. file size: 10 MB, Max. files: 2.

Full ticket must be visible, please ensure you can clearly see the draw date and the print date. We may require you to send the original ticket to us to ensure authenticity. Once we have received all of the required information, this claim will be processed within 7 working days and you will receive your winners cheque within 10 working days.

Would you like to donate your winnings back to St Michael's Hospice?

Yes, I’d like to donate my winnings

No, I would not like to donate my winnings

If you select Yes, a member of the team will be in touch to confirm this with you.

Can we keep in touch?

We’d love to tell you more about how we care for families across Herefordshire and how you can help. Please let us know how you would prefer to hear from St Michael’s Hospice by ticking all relevant boxes.

I consent to being contacted by

Post

Telephone

SMS

Name

This field is for validation purposes and should be left unchanged.

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St Michael's Hospice

Prize Money Claim Form

About You

How can we reach you?

Your winning ticket!

Can we keep in touch?

Contact us

Stay in touch with us

Contact us

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