St Gemma's Events
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Covid-19 Update
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Event Booking
Unfortunately this event has passed. Please try another event.
Step 1 - Supporter Details
Title*
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First Name*
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Surname*
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Telephone Number*
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Email Address*
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Please provide a valid email address
Postcode*
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House Number and Street*
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Address Line 2
Town / City*
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County*
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Step 2 - Please enter further information
My first light is in memory of
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My second light is in memory of
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My third light is in memory of
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My fourth light is in memory of
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Donation Amount (£)*
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I would like each dedication on a separate card:*
Please select
Yes
No
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I would like to donate without a dedication:
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Name of Cardholder:*
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I would like to celebrate at home, and receive a tealight in my dedication pack
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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
Yes
No
Gift Aid
*I would like St Gemma’s Hospice to treat all donations I have made in the last four years and until I give further notice as Gift Aid donations. I confirm that I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that year, it is my responsibility to pay any difference. I understand that other taxes such as VAT and Council Tax do not qualify. I understand that St Gemma’s Hospice will reclaim 25p of tax on every £1 that I donate.
Claim Gift aid on my donation
Declaration
I understand that by making a donation, St Gemma's Hospice will contact me about Light Up A Life.
I agree to the declaration
Please agree to the declaration