Become a Retailer | Horsforth Local Lottery

Step of

Your Business

Business Name *

Business Address *

Phone Number *

Website URL

Facebook

Instagram Handle

Your Details

Contact Name *

Position in Business

Email Address *

Mobile Number

Banking (optional)

These details are needed so sterling can be transferred once any H£ notes have been collected.

Bank Name

Name on Account

Sort Code

Account Number

Declarations and Consent

Please read each statement carefully and tick to confirm your agreement.

I/We agree to participate in the Horsforth Local Lottery and agree to accept the Horsforth Pound (H£) as payment, if offered, as part of a legitimate transaction.

I/We agree to abide by all rules and will not offer sterling in exchange for a H£.

I/We agree for our details to be used legitimately and fairly by Horsforth Town Team and their sub committee who are managing the Lottery in terms of contact, marketing and general advertising.

I am interested in selling lottery tickets at my business.

Digital Signature

Print Name *

By typing your name below you are signing this application digitally and confirming all information is correct.