Online Application Form

Please complete the form below to make an online application and payment for the Lottery.

Alternatively you can download the standing order form and send to Calderdale Cares Lottery, The Shay Stadium, Halifax, HX1 2YS. If you wish to pay by cheque, these should be made payable to ‘Calderdale Cares Lottery’ and returned with the completed form. If you have any queries please email

Subscription Type

Choose whether you would like one or two lottery numbers and select how you would like to pay:

£4.33 per month £13 per quarter £26 per six months

£8.66 per month £26 per quarter £52 per six months

Your Details


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