Number of tickets per month (in multiples of £1) *
Your answer
Do you wish to pay by: *
Bank details
Barclays Bank plc, Account Name: Hexham Middle School 200 Club Account Number: 30392103 Sort Code: 20-40-09 Reference: your first and last name
By participating in the HMS PTA Lottery, you agree to HMS PTA holding the information contained in this application form and sharing it if necessary, with Hexham Middle School for the purposes of administering the HMS PTA Lottery. You may withdraw this consent in whole or part at any time by notifying the HMS PTA Lottery Secretary but that this may affect your ability to participate in the HMS PTA Lottery. You may change the number of tickets you hold or cancel your membership at any time but please contact hmsprizedraw@gmail.com to advise if you wish to do so we can update our records. *