Lottery Application Form - No1 CopperPot Credit Union | Number One Police Credit Union Limited

Join the Friends of No1 CopperPot Credit Union Lottery to be in with a chance of winning.

Good luck!

Title*
Forename(s)*
Surname*
Date of birth*
Member number*
Email address*
If you save with us via payroll/pension deduction, what force do you/did you work for?
How many chances would you like each month?*
It costs £1 per chance and you can have up to 10 chances each month.
Please note: If you are already contributing to the lottery, the chances you enter on this form will replace the current chances you have.
For example: If you currently have 1 chance in the Lottery each month and request to change your chances to 3, you will be entered in to the Lottery for 3 chances a month, costing £3.
Please tick to confirm you understand that the same amount of pounds sterling as you have chosen chances will be either deducted from your payroll or Direct Debit contribution each month until you tell us otherwise.*
- I confirm
If you would like to cancel your lottery contribution, please contact us

Slater House, Oakfield Road
Cheadle Royal Business Park
Cheadle, Cheshire
SK8 3GX

Number One Police Credit Union Limited trading as No1 CopperPot Credit Union is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Firm Reference Number (FRN) 213301. For details visit http://www.fca.org.uk

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