* = Required field
Please tick below your chosen self-exclusion period: *
Submitting this request enters you into the self-exclusion
scheme as detailed in the Muscular Dystrophy UK Problem
Gambling and Self-Exclusion policy.
If you would like to enter our lottery again after this period
you can call our helpline on 01628 201 282.
Please remember for friendly and helpful advice from trained
counsellor’s call the National Gambling Helpline on 0800 8020133
or visit the GambleAware website