1 Your details 2 Voucher information 3 Complete All questions must be answered, unless marked (optional) You can use this form to request a new voucher if you've lost the one you received or if it's in the wrong name Your details First name As it appears on your account Last name As it appears on your account Phone number (optional) Account Number It starts with 67 and is 12 digits long Email address (optional) Address Postcode Address line 1 Address line 2 (optional) Town / City County (optional)