PREFERRED METHOD OF PAYMENT Cash ❏

Standing Order ❏

Cheque❏

RULESOF THE LOTTO

Make cheques payable to: ROSCOMMON GAELS CLUB LOTTO

STANDING ORDER MANDATE To:

The Manager

Bank Name:

__________________________________

BIC:

__________________________________

Account Name:

______________________________________

IBAN Number:

______________________________________

______________________________________________________ Reference No. / Customer Name if Applicable: __________________________________ The Sum of:

__________________________________

Date of First Payment: ____/____/____ dd/mm/yy Frequency:

_________________________________

Date of Last Payment: ____/____/____ dd/mm/yy (Or until you receive further notice in writing)

1. Match 4 numbers,win or share Jackpot. 2. Min.Jackpot €1,000 3.Jackpot increase each week.

by€150

4. If the jackpot is not won Four lucky dips for €30 will be held. 5. Weekly draw each Sunday night in the Hyde centre starting Sunday 17th January2010. 6. Committee’s decision is final. 7. Results and current Jackpot figures will be available in the local papers and local outlets.

PLEASE PRINT ALL DETAILS

And Pay

Roscommon Gaels

To the Account of:

Roscommon Gaels

Club would like to

BIC:

ULSBIE2D

take this opportu-

Bank Account Number:

IE35ULSB98624210338083

nity

to

our

sponsors

Bank &Branch:

Ulster Bank, The Square, Roscommon.

Signed: __________________________Date: ____________________ ROSCOMMON GAELS DEVELOPMENT LOTTO To whom it may concern: Please note: My four Lotto numbers (between numbers 1&32)are: Should you wish a second line: Signed:

______________________________________________

Print Name: ______________________________________________ Address:

______________________________________________

Phone No.:

________________________ Date: _____________________

Email Address:______________________ Standing order completed online:________

all

thank

those

continue

all and who to

generously support our club. SIGNED: Teresa Hession Chairperson 086 1916808 Niamh Kilmartin Secretary 086 3818389 Harry Hoare Treasurer 086 3436225