St Barnabas

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Personal Details

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*First Name
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Mobile Tel No
*Date of Birth
*Email Address
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Address
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Keeping in touch

We hope that you'll be really proud of the support you're making happen. We'll use the information you provide to send you occasional updates and let you know how you can continue helping. We'll never sell or share your data. Are you happy for us to stay in touch:

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If you'd like to change any of your communication preferences, or would prefer not to hear from us by post, please let us know on info@stbh.org.uk or 01903 706327. For more information on how we use and look after your data, please read our Privacy Policy and Supporter Promise.

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For any queries contact our Supporter Care No: 01903 871842

Email: Lottery@stbarnabaslottery.org.uk

You will need your account details, which can be found on your cheque book or bank statement, to complete the direct debit instruction. Is the account in your name? Are you the only signatory required to authorise this direct debit? If not, please click here for a paper mandate (PDF format) which should be printed off and sent to us with all necessary signatures.

St Barnabas Hospices (Sussex) Ltd
St Barnabas House, Titnore Lane, Worthing, West Sussex, BN12 6NZ