uklotto entryform
UK  National Lottery

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YES!I would like to enter the UK National Lottery for a chance to win my share of over £1.7 Billion (US$2.6 Billion) being given away this year. I have selected the number of Games and Weeks over which I want to subscribe and I have entered 6 numbers for each Game I want to play.
     
  Choose the Number of Games and Weeks You Wish to Play on the Board Below. Remember the More Games You Play over a longer period, the Better Your Chances of Winning.
   
 
NUMBER
OF GAMES
9 DRAWS
(9 Weeks)
18 DRAWS
(18 Weeks)
36 DRAWS
(36 Weeks)
1 GAME US$65 US$130 US$260
2 GAMES US$130 US$260 US$520
4 GAMES US$260 US$520 US$1040
6 GAMES US$390 US$708 US$1560
8 GAMES US$520 US$1040 US$2080
10 GAMES US$650 US$1300 US$2600
 
Enter 6 Numbers from 1 to 49 for Each Game You Want to Play.
 
GAME 1
GAME 2
GAME 3
GAME 4
GAME 5
GAME 6
GAME 7
GAME 8
GAME 9
GAME 10
Title:
First Name
Last Name:
Street Address
Address:
Address:
City
State
Zip Code:
Country
Phone: (Area Code) - Number:
Fax: (Area Code) - Number:
E-mail:
If you have an e-mail address, tick box to receive the Lottery Draw Results by e-mail.
Please charge my credit card:
Card Number :
Expiry Date : Month Year
 
AUTOMATIC RENEWAL OPTION