Lottery sign up - Great North Air Ambulance Service

Thank you for wanting to join or renew. In doing so, you are enabling us to save lives and ease suffering across the region.

You must be 18 years of age to play our lottery. We will automatically validate this through an age verification service. This uses the name and address information you provide during this sign up. Full details of this and all other aspects of our data processing is included in our Privacy Policy.

If you prefer to signup by post, please download a prepayment and direct debit form to complete and post back to: GNAAS, Progress House, Urlay Nook Road, TS16 0QB.

If you require any assistance please ring our lottery help desk on 0800 1777 035, or email lottery@greatnorthairambulance.co.uk
How are you paying?*
Lottery payments by credit card and PayPal are banned by law.
Do you want to*
Please select sign up if you are brand new to our lottery , or select renew if you already have numbers
Select payment frequency*
How many numbers?*
Plays are £1 per number per week and start from £4.34 per month for a direct debit or a minimum of £20 for a one off card payment

Enter your number(s) (if known)

Number of weeks*
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Amount*
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Amount*
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Amount*
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Frequency*
Would you like to add a top-up donation?*
Selecting to automatically top-up will round regular play payments by £0.66 to £5.00 per play per month, and to the next £5 for one-off payments.
- No
- Top-up my donation automatically
- Enter a manual top-up donation
Enter your top-up donation*
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Top-up donation amount*
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- This form entry is part of the lottery uplift
Staff comments box

Name*
Title First Last
Date of birth*
we need to ask for this to aid us in ensuring all our players over the age of 18 and comply with our terms and conditions and licencing regulations. Please enter in DD/MM/YYYY format, e.g. 01/03/1960
DD slash MM slash YYYY
My email is*

By providing your email address you will receive your Lottery welcome pack electronically. This helps to reduce our costs and is environmentally friendly – thank you.
My phone is*
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This is my
Postcode*
ZIP / Postal Code
Address
Street Address Address Line 2 City Country
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- Or, enter address manually
Where did you hear about us?
If you have a reference, please select it from the list
Leaflet code
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Is admin user
- Yes
Staff Marketing Consent Script
We'd love to keep you up-to-date with our life-saving missions and how you can help us rescue more people through fundraising, events and volunteering. Would you prefer this by email, SMS or both?

We may also occasionally contact you by post or phone. You can tell me now or at any point in the future if you’d prefer us not to do this. [For background – it is unlikely that we would contact them more than four times a year by phone/post]
How would you like to hear from us?
We'd love to keep you up-to-date with our lifesaving missions and how you can help us rescue more people through fundraising, events and volunteering. Please let us know how you'd like to hear from us.
- Email
- SMS
We also communicate with supporters by post or telephone to tell you more about our critical care service and the exciting ways you can support us. You can read more about this in our Privacy Policy or you can click here to not receive communications this way.
Opt-Out of communications by
- Post
- Telephone
Gift Aid
Help us save more lives, at no extra cost to you.

Every donation you make could be worth 25% more, just by choosing to Gift Aid it.

Your donation of can be boosted with Gift Aid by a further , which means GNAAS will receive .

Last year we raised an additional £231,986.63
through Gift Aid.

Boost your donation today

Yes, I would like to boost this donation with Gift Aid, if applicable. I would also like to Gift Aid donations that I make in the future, and have made in the current or previous four tax years, until I notify you otherwise.

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. I understand that the Great North Air Ambulance Service will reclaim 25p of tax on every £1 that I give. Please notify us if you want to change this declaration, change your name or home address, or no longer pay sufficient tax on your income/capital gains.

(If you have previously completed a Gift Aid declaration, we will continue to claim Gift Aid on your donations until notified otherwise.)
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Gift Aid Declaration Type
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Campaign Link
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Allocated numbers
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Age verification result
Terms and Conditions*
Please read our Terms and Conditions which include a statement on how your funds are protected under Segregation of Funds.
- I have read the Terms and Conditions and the statement on Segregation of Funds.

Lottery - Sign Up

Help us save more lives, at no extra cost to you.