LOTTERY MEMBERSHIP APPLICATION

The MPS & SA Lottery is drawn weekly with the following prizes:

1 x £200,  2 x  £100  & 4x £50

There is also a bi-monthly draw with one prize of £500 !!

Each Entry in the Lottery costs 25p and each member is entitled to a maximum of 10 chances.

I wish to apply to join the MPS & SA Lottery for .................... chances per week and I

authorise the Treasury to deduct the sum of £.................... each week from my salary.

Surname:   .............................................................................................................

Christian Name: ...................................................................................................

Other Initials: ........................................

Collar Number (if applicable): .............................................

Force ‘Open Door’ / Payroll / Pension Number:  ..........................................................

Work Location or Home Address (R.P.O.’s only):  ............................................................................

...................................................................................................................................

Contact Phone Number:  ...................................................................................

E- Mail  ..........................................................................................................................................................

Signed: ................................................................                      Date:  ...................................................


Please return this form to the Treasurer at the Riversdale Offices or fax it through on 0151 427 5563
Lottery Application Association. Riversdale. Sport. Contact Us. News / Events.