Thank you for choosing to Take a Chance and Play a Part

in St. Andrew’s Hospice Lottery.
Please fill in the form below and send it with a Cheque or Postal Order to:
St. Andrew’s Hospice Lottery
FREEPOST SCO6134
AIRDRIE ML6 6BR

Name:

Address:

Post Code:

Telephone:

Signature:

Number of chances requied:

I would prefer to pay 4 weekly at:

Collection Point:

Please Tick

Airdrie Hospice Shop (SAO500)

 

Bellshill Hospice Shop (SAO502)

 

Coatbridge Hospice Shop (SAO501)

 

Hamilton Hospice Shop (SAO503)

 

Motherwell Hospice Shop *

 

Airdrie Hospice Reception (SAO506)

 

Airdrie Hospice Dat Care (SAO505)

 

FREEPOST SERVICE