Dedicate your Flower

Step 1 - Your Details
Step 2 - Please enter further information
How many Forever Flowers would you like to dedicate?*
My first flower is in memory of*
Donation Amount (suggested minimum donation £30 per Flower) £*
My second flower is in memory of
Donation Amount (suggested minimum donation £30 per Flower) £
My third flower is in memory of
Donation Amount (suggested minimum donation £30 per Flower) £
My fourth flower is in memory of
Donation Amount (suggested minimum donation £30 per Flower) £
How many personalised hearts would you like?
Donation amount (suggested minimum donation £5 per heart) £
The name(s) you would like on your heart(s) - one word per heart
Step 3 - How we communicate with you
As a valued supporter we really want to keep you posted about news and events across St Gemma’s and to share how your support benefits local patients and their families.  
 
We will contact you for administrative purposes regarding this interaction. We will usually send you information by post; if you would also like to receive email updates please let us know.  If you wish to change how we send you information or choose not to hear from us at all, there are a variety of ways you can do this. Ring us on 0113 218 5555, email supportercare@st-gemma.co.uk or update your preferences online at www.st-gemma.co.uk/mydata.
 
For further information on how we use and store your details please visit www.st-gemma.co.uk/privacy. We will never sell your personal information.
 
I am happy to be contacted by email in the future