Shop Ticket Claim Form

Please complete this form if you hold a winning lottery ticket bought from one of our Sue Ryder shops for prizes over £10. - Prizes under £10 can be claimed in cash at participating Sue Ryder stores.

YOU MUST ALSO SEND YOUR WINNING TICKET TO:
Sue Ryder
Sterling Lotteries
Furness Gate
Furness Business Park
Peter Green Way
Barrow-in-Furness, LA14 2PE

It is your responsibility to ensure the ticket arrives safely. Sue Ryder accepts no responsibility for tickets lost in the post. Upon receipt, this form will be matched with your ticket and a prize issued. All prizes are paid by cheque, made payable to the exact name you have listed below and will be posted to the address you have quoted.

About You:

Title:





I confirm that I am over the age of 16.

Your Address:





Winning Ticket Details:



Claim Amount:

Data Protection Statement

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