Welcome to Mission Maker

The Cornwall Air Ambulance Lottery

Thank you for taking the time to join the Mission Maker lottery, supporting Cornwall Air Ambulance.

The Cornwall Air Ambulance protects the population and visitors of Cornwall over 1,300 square miles of remote countryside, bustling towns, coastline and islands. Flying around 800 missions every year, our crew bring advanced emergency medical care to our patients in their moment of need.

It costs over £3 million every year to keep this vital service flying, and despite being

an essential emergency rescue service, Cornwall Air Ambulance receives no direct

government funding. It’s funded by people like you.

Every time you play our lottery, you're helping fund lifesaving emergency rescue

missions for people in Cornwall and the Isles of Scilly. Playing Cornwall Air

Ambulance's Mission Maker lottery gives you the chance to win our weekly £1,000

jackpot! There's also a 2nd prize of £250, a 3rd prize of £150 and ten consolation

prizes of £10.

You will shortly receive a welcome letter from our lottery office. The letter will contain your unique lottery numbers and more information on the lottery. The draw takes place every Friday and the weekly winners are sent their prize cheques through the post, so there's no need to claim.

If you have any questions about your lottery membership, please do not hesitate to contact us, on our dedicated lottery help line 01637 222525, or visit our website www.cornwallairambulancetrust.org/lottery, where you can also see the weekly results and terms and conditions for the draw.

Thank you once again for your kind support and good luck!

Cornwall Air Ambulance TrustTrevithick Downs, Newquay, Cornwall, TR8 4DYFor Lottery Enquiries Please Call 01637 222525

For All Other Enquiries Please Call 01637 889926

Preferred Start Date (if any).............................(You will be notified in writing, before the first payment is taken).

Name ...............................................................

Address ...........................................................

.........................................................................

....................... Postcode .................................

Tel....................................................................

Email ...............................................................

Instruction to your Bank or BuildingSociety to pay by Direct Debit

2 9 4 5 0 5

Service User Number

This is not part of the instruction to your Bank or Building Society.

Single Membership Double Membership (1 Ticket) (2 Tickets)

Please complete the whole form including this section

Instruction to your bank or building society.Please pay Cornwall Air Ambulance Trust, Direct Debits from the account detailed in this instruction, subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with Cornwall Air Ambulance Trust, and if so, details will be passed electronically to my Bank/Building Society.

Signature(s)

Date

Name(s) of Account Holder(s)

Bank/Building Society Account Number

Branch Sort Code

- -Name and full postal address of your Bank or Building Society

To the Manager

Bank/Building Society

Address

Postcode

MonthlyAn initial payment of£6.34 then £4.34 monthly

£13 every 13 weeks

£26 every 26 weeks

£52 every 52 weeks

MonthlyAn initial payment of£12.68 then £8.68 monthly

£26 every 13 weeks

£52 every 26 weeks

£104 every 52 weeks

Please tick one box to select the payment type :-

This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits·

If there are any changes to the amount, date or frequency of your Direct Debit, Cornwall Air Ambulance Trust will notify you 10 ·working days in advance of your account being debited or as otherwise agreed. If you request Cornwall Air Ambulance Trust to collect a payment, confirmation of the amount and date will be given to you at the time of the request

If an error is made in the payment of your Direct Debit by Cornwall Air Ambulance Trust or your bank or building society you are ·entitled to a full and immediate refund of the amount paid from your bank or building society- If you receive a refund you are not entitled to, you must pay it back when Cornwall Air Ambulance Trust asks you to.

You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. ·Please also notify us.

The Direct Debit Guarantee

For Office Use Only

Please fill in the whole form except the box marked ‘For Office Use Only’ using a ball point pen.

Cornwall Air Ambulance TrustTrevithick Downs

Newquay

Cornwall

TR8 4DY

Tel: 01637 222525

Service User’sReference

SECTION 2 - Name and Address

Please Include the Postcode

Please make cheques payable to :- Cornwall Air Ambulance Trust Lottery

Amount of cheque £13 quarterly

Amount of cheque £26 six monthly

Amount of cheque £52 yearly

Amount of cheque £26 quarterly

Amount of cheque £52 six monthly

Amount of cheque £104 yearly

I confirm that I am happy to appear in promotional materials if I win in the Mission Maker Lottery.

POST: I am happy to receive the ‘Air Time’ magazine by post.

I confirm that I would like to donate all winnings to the Cornwall Air Ambulance Trust.

I confirm that I am over 16 years of age.

SECTION 3 - Your Consent to Play & Data Protection

Signature............................................... Date ....../....../......

For office use only.

Single Membership Double Membership (1 Ticket) (2 Tickets)

Please tick one box to select the payment amount :-

SECTION 1 - Payment Method by Regular Cheque

Regular Cheque (Please complete section 1, 2 & 3)

Payment by Regular Cheque Mission Maker - Cornwall Air Ambulance Lottery LOTTERY INFORMATION AND TERMS AND CONDITIONS OF TICKET SALE

Only persons over 16 years of age may play this lottery. A draw takes place every Friday until further notice (first draw 12th December 2014). This ticket is sold to you on the condition that you consent to your details being stored on our computer for the purposes of notification of prize winners. You may also receive correspondence from us unless you selected not to receive such correspondence on your application form.

Each ticket contains six unique draw numbers. These numbers are entered into the weekly draw provided that the £1 entry fee has been paid. The draw is performed by a computer. All six numbers on each ticket are valid for each prize, except that, once a ticket has won a prize, the six numbers on that ticket are removed from the draw for the remainder of the prizes that week i.e. each ticket cannot win more than one prize each week. This lottery is promoted on behalf of Cornwall Air Ambulance Trust and is registered with The Gambling Commission, www.gamblingcommission.gov.uk, Licence No 000-037750-N-318495-007. Promoter : Mrs Paula Martin, Chief Executive, Cornwall Air Ambulance Trust, Trevithick Downs, Newquay TR8 4DY.

Note: If you choose to pay by Direct Debit you will receive a notification letter confirming your payment details, prior to the first payment being taken. The Direct Debit Guarantee shown below will apply to all Direct Debit payers.

Cheque Amount £ ..........................

Direct Debit Amount and Frequency

Regular Cheque Payment

Joining Date: .....................

£26 Every 26 Weeks

£52 Every 52 Weeks

1 ticketMonthlyAn initial payment of £6.34,then £4.34 per month

2 ticketsMonthlyAn initial payment of £12.68,then £8.68 per month

£52 Every 26 Weeks

£104 Every 52 Weeks

£13 Every 13 Weeks £26 Every 13 Weeks

This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits·

· If there are any changes to the amount, date or frequency of your Direct Debit, Cornwall Air Ambulance Trust will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request Cornwall Air Ambulance Trust to collect a payment, confirmation of the amount and date will be given to you at the time of the request

· If an error is made in the payment of your Direct Debit by Cornwall Air Ambulance Trust or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society- If you receive a refund you are not entitled to, you must pay it back when Cornwall Air Ambulance Trust asks you to.

· You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

The Direct Debit Guarantee

Monthly Direct Debits Only : The additional £2 on your first monthly payment is applied to your ticket to ensure that it remains in credit. Without the extra initial payment, your ticket would run out of credit and drop out of the draw in certain weeks, due to there being more than four weeks in a month, and slightly more than fifty two weeks in a year.

Whilst it is extremely unlikely that this type of weekly Lottery draw will lead to excessive gambling, it is our duty as a Lottery operator to promote responsible gambling. If you have a gambling problem, then please call the National

Gambling Help Line on 0808 8020133, www.begambleaware.org. For help with Self-Exclusion, please call our Lottery Office on 01637 222525.

Name.........................................................................................................................................

Address ....................................................................................................................................

...................................................................................................................................................

.........................................................................................POSTCODE.....................................

Tel No...............................................................................

Email ........................................................................................................................................

EMAIL: I am happy to receive emails about upcoming events and news about the charity.

TEXT MESSAGES: I am happy to receive text messages about upcoming events and news about the charity.

PHONE CALLS: I am happy to receive phone calls about fundraising activities.

Please be assured that your details will not be sold to 3rd parties. Our full privacy statement is availableto view on our website cornwallairambulance.org.