Self-exclusion

Please complete the form below if you wish to self-exclude

Name(Required)

First Last

Member Number

Phone number

Email(Required)

Address(Required)

Street Address Address Line 2 City County / State / Region Postcode

For how long would you like to self-exclude from this lottery? You can choose between 6 months and 5 years.(Required)

Why are you looking to self-exclude?

Once we have actioned the self-exclusion request, we will send confirmation by email. This email will include further resources and helplines such as GAMSTOP. You may contact us to request to extend your self-exclusion as and when necessary, which will be an extension of at least a further 6 months. You can do this my emailing info@no1copperpot.com or calling 0161 741 3160. We will hold data of your self-exclusion for the whole term of your requested self-exclusion period, plus an additional 6 months.

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

0161 741 3160

info@no1copperpot.com

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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

Accessibility by WAH

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Self-exclude

Exclude yourself from our lottery easily and quickly

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