Lottery Membership Form On-Line Lottery Membership Form You may complete and print this form direct from your browser TITLE /RANK NO FIRST NAME SURNAME DIVISION SECTION /DEPARTMENT HOME ADDRESS (If retired) I wish to take a total of chances in to the Club lottery. The sum to be deducted from my pay/pension each month/fortnight. Each chance costs 70p and you may have up to 20 chances per month. Subscribers must be either members of the force and retired members. You do not need to be a member of the Club to play the lottery. If you have 20 chances in the lottery you will have around a 1/103 chance of winning one of the five monthly cash prizes:  £1500
£1000 £500 £500 £150 SIGNED ............................................................................................................................ DATE PAY / PENSION REFERENCE NUMBER (IF KNOWN) Sign and return this form by post to: SC Steven Broadbent, (Club Membership Secretary) Carnforth Police Station, Haws Hill, Carnforth. LA5 8LY. (By internal post) 
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