Lottery Self Exclusion - Great North Air Ambulance Service

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Self exclusion status

Please read the following statement before confirming the self-exclusion agreement:

You have requested to enter a self-exclusion agreement. The Great North Air Ambulance Service will cancel your subscription for all the lottery numbers you hold and cancel any raffle tickets purchased. No further requests to renew your subscription or to purchase other lottery products will be sent to you.

This agreement is to remain in force for a period of 6 months. During the agreed period of time you will be unable to play in any lottery or raffle operated by The Great North Air Ambulance Service.

This agreement although voluntary cannot be revoked and your name and address will be removed from the charity’s mailing and marketing lists.

At the end of the agreed period, you can contact The Great North Air Ambulance Service Lottery team to review this request and extend the agreement for a further period of not less than 6 months, or, decide that self-exclusion is not now necessary. If you decide not to extend the agreement there will be a 24-hour cooling off period before you can re-join the lottery or raffle. The request to re-join must be done in person or over the telephone.

This exclusion applies only to the Great North Air Ambulance Service Lottery and not to any other operator offering gambling services. You may need to consider contacting other gambling operators to be excluded from their gambling services.

The Great North Air Ambulance Service will take all reasonable measures and use checking procedures to support this exclusion for you, but the responsibility remains with you to comply with this agreement and that you should notify the Great North Air Ambulance Service of any change of address while this exclusion is in operation.

You agree to release The Great North Air Ambulance Service, its managers and employees from any liability, or claim, in the event that you fail to comply with this voluntary exclusion.

Please click on the box as confirmation you have read the above statement and wish to proceed with a self-exclusion agreement

Name*

Title First Last

Main Telephone*

Mobile

Postcode

ZIP / Postal Code

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Email*

Confirmation of this self-exclusion agreement will be sent to you in the post

Licensed and regulated by the Gambling Commission
www.gamblingcommission.gov.uk
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