IWC eForms
All fields marked with a * are required entries
Lottery Registration
Change of Responsible Officer

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Lottery Registration
Change of Responsible Officer
Please complete this form if the person named on the accompanying account is no longer responsible for ensuring payment of the account.
If you are no longer responsible for ensuring the payment of the annual fee for the registration of the above Society under the Lotteries and Amusements Act 1976, please complete the following:
Your Details
* Title Other title
(please specify)
* Forename
Middle name/Initials
* Surname
* Building/house name/number
* Street
* Town
* County
* Postcode
*  Telephone number
(include area code)

* Email address

 
* (Previous) Position held with the Society

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