Please exclude me from your lottery with immediate effect and do not make any direct contact with myself during my exclusion period.
(We will exclude you for a period of 6 months from the date of the form unless you stipulate an alternative specified time period).
Lottery name: The Sobell Lottery
Membership number (if applicable)
Please return these details to: -
Sobell House Hospice Lottery Manager
Sobell House Hospice Charity
or email them to firstname.lastname@example.org