Join the RNIB Weekly Lottery

Thank you for deciding to play the RNIB Lottery. Payments for the lottery are made by monthly Direct Debit.

Please complete the form below. Fields marked with an asterisk (*) must be filled in. By completing this form you acknowledge that you are aged over 16 and that you agree to the RNIB Lottery terms and conditionsNew Window

Your RNIB Lottery entry

Please choose a monthly Direct Debit amount from the standard amounts below. If an entry is paid by monthly Direct Debit, £4 or £5 (or multiples of these amounts if you have more than one line) will be collected per month directly from your bank account, dependent upon the number of draws in between your payment dates. This will enable entries to be made in every draw.

Number of plays per week: *

Please choose your preferred payment collection date below: you can choose from either 1st of 15th of the month.
Payment collection date : *
every month.


Please confirm that you are the account holder and therefore the payer and that you are the only person required to authorise Direct Debits from this account:

If you haven't ticked the above boxes, please print out the printable Direct Debit form, Word 304K New Window and post it back to us at: FREEPOST RSHE-LZTU-GCGY, The RNIB Weekly Lottery, Chippenham, SN14 6NG. Thank you.

Your Direct Debit payment

Direct Debit
Service User Number: 699494
Payment will appear on your statement as RNIB.
You will be sent confirmation of this agreement in the post no later than 10 working days before the first collection.

Your details

I would like to be kept up to date with RNIB's news and activities via email (you can unsubscribe at any time).

Direct Debit Guarantee

Direct Debit
  • This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits.

  • If there are any changes to the amount, date or frequency of your Direct Debit, RNIB will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request RNIB to collect a payment, confirmation of the amount and date will be given to you at the time of the request.

  • If an error is made in the payment of your Direct Debit by RNIB or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society.

  • If you receive a refund you are not entitled to, you must pay it back when RNIB asks you to.

  • You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

Data protection

RNIB would like to contact you with information about our work and how your support is making a difference. If you don’t want us to contact you in this way, please email us at, call us on 0845 345 0054 (Monday to Friday, 9am to 5pm) or write to Fundraising, RNIB, 105 Judd Street, London, WC1H 9NE.

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