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    Personal Details

    Allow contact from Lincoln City FC regarding the Imps Lottery - (tick all that apply)

    Allow contact from Prize Provision Services - (tick all that apply)

    Entry Information:

    Number Of Lines:

    The first monthly payment will be £6.34 per line, followed by regular monthly payments of £4.34 per line.
    Your first monthly payment will be £2 higher per line than your regular payment to avoid missing a draw in a 5 week month. This will be held on your account balance and used in future draws.
    This will appear on your bank statement as 'Sports Club Lottery'.

    Bank Details:

    Dual Signatories only - click to download a paper mandate.

    Safe, Guaranteed
    This lottery uses an approved BACS Bureau for direct debit collections and is administered by Prize Provision Services who are licensed by the Gambling Commission
    Prize Provision Services
    NBV Enterprise Centre
    NG6 0JU
    For help, contact 0115 888 1222 or

    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.