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Step 1 - Supporter Details
Step 2 - Please enter further information
My first light is in memory of *
Donation Amount (£)*
My second light is in memory of
Donation Amount (£)
My third light is in memory of
Donation Amount (£)
My fourth light is in memory of
Donation Amount (£)
My fifth light is in memory of
Donation Amount (£)
Would you like information about the Hospice Ceremony on 8th December?*
Would you like information about the Immaculate Heart Service on 18th December?*
Do you want us to send you a Home Pack?*
 
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

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.