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1. Choose your Tickets

£2,500
3 July 2017
£1.00 per ticket
£

Total to Pay:

£10.00

Giftaid
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I want to Gift Aid my donation to The National Autistic Society and any donations I make in the future or have made in the past 4 years. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference. I will inform The National Autistic Society if I am no longer eligible to claim Gift Aid or if my name and address change.


2. Your Information * Required information


3. Your Communication Preferences

The National Autistic Society would like to keep in touch with you about our services, support, events, campaigns and fundraising. We'll only contact you in the ways you want, and we'll keep your data safe (see www.autism.org.uk/privacypolicy for further details). To update your permissions, contact us on 0808 800 1050 or at supportercare@nas.org.uk

I agree to The National Autistic Society contacting me in the following ways (please tick the appropriate box or boxes to ensure we can contact you):

Telephone
Email

4. How did you hear about us?

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5. Terms and Conditions

*

I have read and agree to the Terms and Conditions and Privacy Policy of this service.

* I'm 16 years or older.
You need to be over 16 to play To legally comply with Gambling Commission regulations and prevent under age gambling, you must confirm that you are 16 years of age or over to play our raffle.

6. Your Address Details

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