Please use this form to either request raffle ticket books be sent to you for you to sell in support of the Dystonia Society or to buy raffle tickets. Please note raffle tickets are only available to those in the United Kingdom. Raffle tickets are £1 each.
The above contact details will only be used to either send you your requested tickets or if any ticket you purchase is successful in the draw. However if you would also like to hear from the Dystonia Society in the future beyond the Grand Draw please use this form to tell us your preferences. You can change your mind at any time. In the future, we will only contact you about the areas of our work you choose via the communication methods you prefer. Your Privacy We will always store your personal details securely. We will only use them to provide the service(s) that you have requested and communicate with you in the way(s) you have agreed to. Your details may also be used for analysis purposes, to help us provide the best possible service. We will not pass on your details to anyone else and we will only share them if required to do so by law. For full details see our Privacy Policy.
We will post your requested quantity of raffle ticket books to you. Please ensure you have entered your full postal address above.
Please send payment for the number of tickets you wish to buy via the following options: By cheque: Payable to the Dystonia Society, post to The Dystonia Society, 3rd Floor, 89 Albert Embankment, London, SE1 7TP and please write your name, address and Grand Draw 2018 on the back of the cheque. By bank transfer: Sort code: 40-52-40 Account no: 00003759 Account name: The Dystonia Society To ensure we can match your payment with your request please enter the following reference: GD18 followed by the name and postcode you have entered on this form above.