FIGHT BACK Friday Lottery Online Self-exclusion

Self-exclusion

Gambling Commission - Licence Conditions and Code of Practice

If you feel you have a problem with gambling and would like to request that Action Medical Research excludes you from all of its gambling related activities, including receiving gambling related marketing materials, you can simply complete and submit the form below.

I have a gambling problem and therefore wish to be excluded immediately from all of Action Medical Research's gambling related activities, including receiving any gambling related marketing materials from Action Medical Research, for a minimum period of:

I acknowledge that I will not be allowed to rescind my self-exclusion during this period.

Following our successful completion of your self-exclusion request:

Your chosen self-exclusion period will remain in force with Action Medical Research, for a minimum of 7 years
Action Medical Research will not send you any gambling related marketing materials, unless and until you specifically request us to do so.

Please ring the FIGHT BACK Friday Lottery helpline on 01524 753247, if you wish to extend your chosen self-exclusion period (minimum 6 months extension).

Personal details

Title*:

First name*:

Last name*:

Date of birth*:

Email address*:

Verify email address*:

Contact number*:

Enter your house number/name and postcode, then click 'Find address'

House number/name:

Enter Postcode and click "Find my address" or click "Enter address manually"

Postcode:

Enter address myself

House number/name*:

Address line 2:

Address line 3:

Address line 4:

Town*:

County:

Post code*:

I acknowledge my responsibility in ensuring adherence to this agreement. I acknowledge that the Promoter, its employees or agents have no liability or claims arising from my voluntary use of the gambling facilities provided.

Need help? Call: 01524 753247 or click here to email us

Action Medical Research is licensed and regulated in Great Britain by the Gambling Commission under account number 4773. Website: www.gamblingcommission.gov.uk Promoter: Action Medical Research, 5th Floor, 167-169 Great Portland Street, London, W1W 5PF. Responsible Person: Kabba Njie. All Proceeds to Action Medical Research. Must be 18 or over to play. Underage gambling is an offence. £1 per entry. Full terms and conditions, how proceeds are used and the likelihood of winning a prize can be can be found here or from the Lottery Office.

Playing the FIGHT BACK Friday Lottery is an easy and fun way to support our work. To ensure you enjoy playing, we've put together some information about how to gamble responsibly.

If you feel you have a problem with gambling, visit www.begambleaware.org or call the National Gambling Helpline on 0808 8020 133. Action Medical Research is a registered charity. England and Wales no. 208701; Scotland no. SC039284. A company limited by guarantee registered in England no. 549089. VAT no. 528 4854 17.

This web page is hosted by StarVale Management & Technologies Limited which is licensed and regulated in Great Britain by the Gambling Commission under account number 3273.