Online Order Form

Your one stop shop for draw tickets

Please input information carefully as any re-prints resulting from customer’s errors will be charged as new orders.

Name:*

Telephone Number:*

Email:*

Customer Address:*

Proof Required:

No of tickets Required:*

Staple in books of:

Paper Colour:

Name of organisation:*

Registered charity no:

Title of Draw:*

In aid of... or Proceeds to...:

Prizes:*

Plus Other Prizes:

Date of Draw:*

Venue of draw:

Name of the Promoter:*

Address of Promoter:*

Name of the local authority which the organisation is registered:*

Price per ticket:*

Special Instructions:

Attachments:

(If you wish to use your own logo please use this attachment file)

Delivery Required Within:

Daytime Telephone Number

Postcode:

Name and Address for Delivery:

Please leave this field empty.

I confirm that ALL information is correct.