If you need any assistance completing this form, please telephone the Lottery Department on 01795 845222.
Fields marked * must be completed.
Demelza values your support and promises to respect your privacy. The data we collect and hold is managed in accordance with the UK and EU Data Privacy Regulations. We do not disclose or share personal information supplied by you with any other third party or organisation.
Terms and Conditions
Click here to read our Lottery Terms and Conditions.