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Play the Hospice Lottery Donate

When you choose to support The Mary Stevens Hospice, you’re not only helping us provide care today, you’re helping us protect the future of the hospice, ensuring that people in our community will always have somewhere to turn when they need it most.

Gambling self-exclusion form

How to self-exclude

By completing and submitting the form on this page, you request that you are excluded from gambling with The Mary Stevens Hospice for a period of 6 months.

Do you have a question?

Please feel free to get in touch with our Lottery team.

Gambling self exclusion form

Please complete the form to self-exclude from gambling with The Mary Stevens Hospice for a period of 6 months.

Fields marked with * are required.

Registered with the Gambling Commission under the 2005 Gambling Act (www.gamblingcommission.gov.uk). For help, support and advice, visit www.gambleaware.org

Players must be aged 18 or over to play The Mary Stevens Hospice Lottery. Responsible Person: Helen Prince, 01384 860 011.

Mary Stevens Hospice Lottery Limited is licensed and regulated in Great Britain by the Gambling Commission under account number 4987.

Please view more information on our Terms and conditions, Complaints and disputes and Responsible gambling guide.