Personal Details
*First name
*Contact no
Mobile no.
*Date of birth
*Email address
*Confirm email
Enter postcode and optionally house number in address line1 then click 'Find Address'
*Address line 1
*How did you hear about us?
Please Specify:
As a supporter you are at the heart of everything we do. We’d love to keep you updated about our work and ways you can help, as well as sharing news of events you may be interested in. Please indicate below how you would wish to be contacted in the future including our newsletter.

We respect your right of privacy and to have your data kept securely. We promise to never sell or swap these with anyone else. Please click for full details of our privacy policy

Please contact me via:
Payment Details
Bank Details
Hospice of the Good Shepherd
Gordon Lane


For any queries contact our helpline: 0151 356 8899

Are you the only signatory required to authorise this direct debit? If not, please click here for a paper mandate (PDF format) which should be printed off and sent to us with all necessary signatures.

Lotteries Council Logo

Lottery products must not be sold to anyone under 18 years of age.

Hospice of the Good Shepherd Promotions Limited is licensed and regulated in Great Britain by the Gambling Commission under account number 5134

Responsible Person; Caroline Siddall, Director of Income Generation.
Responsible Gambling Logo

HLA Logo