Sign Up To Help A Veteran

Welcome to the VETERANS RAFFLE

Simply enter your details, complete a direct debit and enjoy being in total control 24/7 of something very special

Personal Information

Title *

Other Title *

First Name *

Last Name *

Date of Birth (18+) *

Contact Information

Email *

Phone *

Your Address

Manually enter address

Password Set Up

Passwords are case-sensitive and must be at least 6 characters long. A good password should contain a mix of capital and lower-case letters, numbers and symbols.

Password

Your Preference

What is your preferred Good Cause?

Please Select

Tick this box to receive our occasional e-newsletter containing news and updates

Optional Information

How did you find out about us?

Please Select

Other *

Verification

Tick the box to prove you are human

I have read and understood the terms & conditions *

Once you have submitted this form, you will be redirected to GoCardless who will securely handle your direct debit payments.

SSL Secure Connection