1. Your Details
2. Direct Debit
3. Summary
4. Completed

Choose your number of entries *

* = Required field

Every entry costs £1.00 a week.

1. entry per week – £4.34 per month
2. entries per week – £8.68 per month
3. entries per week – £13.02 per month

Keep the change

Keep the change, allows you to increase the value of your gift each month with an additional donation. For example, if you purchase 1 entry at £4.34 per month, you can round your payment up to £5.00 per month with £0.66 treated as a donation to Kidney Research UK. You can also choose your own amount to round up in the box below.

Yes! I would like to donate the change

No, I would not like to donate the change

My Choices

Number of entries

0 per week

Monthly cost

£0

Donation

£0

Gift Aid

Total

£0

Your personal details

Title *

First name *

Surname *

Email address *

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Mobile telephone number

Enter your postcode including any spaces

Tick here to enter your address manually

Address 1 *

Address 2

Address 3

Town *

County

Postcode *

Contact Preferences

We’d like to let you know about news, fundraising campaigns and events and what you are helping to achieve. Can we stay in touch?

Email: Yes, I am happy to be contacted by email

We promise to keep your details safe. We will never sell your information to a third party. If you change your mind about your communication preferences or want to stop receiving communications, you can contact us at supportercare@kidneyresearchuk.org or 0300 303 1100.

We will hold the information you provide for communication, marketing, analysis and administration purposes. You can read our privacy policy to find out what data we hold, what it is used for and where it is stored. You can call our supporter care team to receive a copy of our privacy policy if you would prefer.

Terms and Conditions *

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

Please enter your Date of Birth *

Over 18 You must be at least 18 years or older to enter

Where did you hear about our lottery? *

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