Small society lottery registrations (Application form for registration of non-commercial society)

This form may be used by non-commercial societies (societies established and conducted for charitable purposes, or to enable participation in sports or cultural activities, or for any other non-commercial purpose other than private gain) wishing to promote small scale lotteries (maximum proceeds of £20,000 per draw and £250,000 per annum - other limits and restrictions also apply).

Please refer to the guidance notes at the back of this form before completing.

This form is prescribed by regulation 3(1)(a) of the Small Society Lotteries (Registration of Non-Commercial Societies) Regulations 2007

Section A - Details of society applying for registration

Section B – General information about person applying on behalf of society

Section C – Contact details for correspondence associated with this application

Section D - Declaration

• I make this application on behalf of the society referred to in Section A and have authority to act on behalf of that society.
• When I click "make payment" I will follow the on screen instructions to pay the registration fee of £40.
•  I confirm that, to the best of my knowledge, the information contained in this application is true. I understand that it is an offence under section 342 of the Gambling Act 2005 to give information which is false or misleading in, or in relation to, this application.