Organising Body

Charity No. (if applicable)

Promoter Name and Address

Title of Draw or Event

Title Typeface (please select)

Title Font Colour

Title Typesize (please select)

1st Prize

2nd Prize

3rd Prize

Other Prizes

Draw Date and Location

Draw or Event registered with

Price of Each Ticket

Font Colour

Counterfoil Information

Ticket Number (IMPORTANT for re-order)

Select your Despatch time

Delivery Time