Complete this application and either email or post it to us

            To Terry Davis, Pett Farm, Stockbury Valley, Nr. Sittingbourne, Kent, ME9 7RJ. 

            Tel:-  01622-884651 - 07771523911 email:- davis01@btconnect.com

 This application form relates to the Pett Farm Euro Millions Lottery rules which can be read by clicking this link    RULES & CONTRACT  

By completing this application you are agreeing to the rules and contract of the Pett Farm Euro Millions Lottery

I have read and understand the rules and contract.  Please Sign.................................

Please Print.

 Name…………………………………..

 Address……………………………………………………………………….

 ……………………………………………………………Post Code………..

            Telephone Number…………………...........Mobile Number……………………….

 email Address………………………………..

 Signature………………….Print Name…………………Date…………….

            Please Choose Your Euro Numbers 

            Five  No’s 1- 50……………………    Two Star No’s 1 to 9 Will be used from our combination Numbers

            Five  No’s 1- 50………………………Two Star No’s 1 to 9 Will be used from our combination Numbers

            The odd Numbers will be drawn by Lucky Dip and retained throughout

            You will be included from the first Friday of the month your standing order starts and an email 

            confirmation will be sent.

            PLEASE RETURN THIS FORM WITH A CHEQUE FOR £5.00 (SEE RULE 2.1.4) MADE OUT TO T. DAVIS

              Please now fill out your standing Order Mandate by Double Clicking this Link