Online LOD Ticket Application – Basset Fauve De Bretagne Club

Title *

Name *

First

Last

of I &

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Type of Member *

I am a Club member & I have read & understood the terms & conditions of the Limited Odds Draw *

For Bank Transfers:
The Basset Fauve de Bretagne Club
Account Number 18 80 44 38
Sort Code 60-12-01

For PayPal:
[email protected]

Remember to include your Name & Payment Type (e.g. Lottery) as the pay reference.

If you prefer to send your ticket fee by post please contact the Lottery Coordinator to arrange this.