Your Personal Details

If your company account requires more than one signature, a paper mandate must be completed and returned to us.

Click here to print the direct debit form.

Address Details


                                                          Table illustrating your Direct Debit Collections:


Frequency of Payments






No of Memberships
















Please select the theatre you would like to support from the list below

Number of Memberships (each membership gives you 7 chances to win)

Frequency of Payments

Payment Amount


By proceeding, you agree to have read and abide by the terms and conditions, in particular the 'protection statement' of the NYCDA Weekly Draw and understand that your data will be safely secured and only used as per our need to communicate with you around your membership. 

To access these Terms and Conditions. Please visit -

Members participate in the NYCDA Weekly Draw, which is registered with the Gambling Commission under account no. 5166 by the National Youth & Community Development Association (NYCDA). Proceeds from your membership go to support your chosen beneficiary’s community focused activities.

Reg. Add. 1-2 Frecheville Court, Bury, BL9 0UF. Resp. Person. Mr M Brocklehurst

For more information on this licence please visit - or for information on the wider organisation visit


 Your Theatre Lottery

Click here to view our Direct Debit Guarantee.

Direct Debit Instruction

Instruction to your bank / building society to pay by direct debit.
Service User Number: 285042 Instruction to your Bank or Building Society

Please pay FastPay Ltd Re Mark Goulbourne t/a Your Theatre Lottery Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee.

I understand that this instruction may remain with FastPay Ltd Re Mark Goulbourne t/a Your Theatre Lottery and, if so, details will be passed electronically to my Bank/Building Society.

The following information will appear on your bank statement alongside our collections:

Company Name:

You will receive confirmation by email within 3 days.

Direct Debit Guarantee


 This Guarantee is offered by all Banks and Building Societies that accept instructions to pay Direct Debits.

If there are any changes to the amount, date or frequency of your Direct Debit, FastPay Ltd Re Mark Goulbourne t/a Your Theatre Lottery will notify you five working days in advance of your account being debited or as otherwise agreed. If you request FastPay Ltd Re Mark Goulbourne t/a Your Theatre Lottery to collect a payment, confirmation of the amount and date will be given to you at the time of the request.

If an error is made in the payment of your Direct Debit by FastPay Ltd Re Mark Goulbourne t/a Your Theatre Lottery or your Bank or Building Society, you are entitled to a full and immediate refund of the amount paid from your bank or building society.

– If you receive a refund you are not entitled to, you must pay it back when FastPay Ltd Re Mark Goulbourne t/a Your Theatre Lottery asks you to.

You can cancel a Direct Debit at any time by simply contacting your Bank or Building Society. Written confirmation may be required. Please also notify us.