Self Exclusion

Name*

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Email*

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Phone

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Postcode*

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Address Line 1*

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Address Line 2

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Address Line 3

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Town*

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Please tick below your chosen self-exclusion period: *

6 months

1 year

2 years

5 years

Submitting this request enters you into the self-exclusion scheme as detailed here in the Gambling Support section.

If you would like to enter our raffles and lotteries again after this period you can call our helpline on 01628 201283.

Please remember for friendly and helpful advice from trained counsellor’s call the National Gambling Helpline on 0800 8020133 or visit the GambleAware website www.begambleaware.org.

* Denotes required field

Self Exclusion

Self Exclusion

Self Exclusion

Please tick below your chosen self-exclusion period: *

Responsible gambling