Lottery

Thank you for joining the Greyhound Rescue Wales lottery.

All mandatory fields are shown with an '*'. Once completed click the 'Submit' button and you will be re-directed to the payment page to make your payment.

About you

Your first name *

Your surname *

First line of your address *

Town *

Postcode *

Phone Number *

Email Address *

About your entries

You can name each of your lottery entries after a dog of your choice (or any name for that matter!) Simply enter the name next to each of the entries you would like to purchase.

Number of entries I require (minimum 1, maximum 10 @ £12/year each) *

Amount to pay annually

Amount to pay annually (£12 per entry per annum)£:

Dog's Name Entry 1 *

Dog's Name Entry 2

Dog's Name Entry 3

Dog's Name Entry 4

Dog's Name Entry 5

Dog's Name Entry 6

Dog's Name Entry 7

Dog's Name Entry 8

Dog's Name Entry 9

Dog's Name Entry 10

Please select all ways in which GRW may contact you in future *

By consenting to allow GRW to contact you, you are confirming you agree to the GRW privacy policy

View the GRW Privacy Policy

Where did you see the lottery advertised? *

Lottery

About you

About your entries

By consenting to allow GRW to contact you, you are confirming you agree to the GRW privacy policy

On clicking submit you will be directed to the payment page. Please ensure you set the quantity to match the number of entries you have requested.

On clicking submit you will be directed to the payment page.

Please ensure you set the quantity to match the number of entries you have requested.