Tree of Light Dedications

Dedication

Fill out the below form to make your donation and dedicate a light, or several lights, on our tree as your very own personal and unique tribute. (Suggested minimum donation £2)

xxxx

Name of person this is dedicated to*
Donation Amount*
  • £2
  • £5
  • £10
  • Other £

Please note that in order to process credit or debit card donations our provider will charge a fee.  The fee is 2.75% of the donation amount plus 19p per transaction (3.5% for American Express).  For example a donation of £10 would incur a 47p fee resulting in £9.54 being paid to the charity.

Your Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Keeping in touch...

The details you have provided will be added to our database in order for us to fulfil your request.  Please rest assured we will not share your data with any third parties.

 

We would also like to contact you from time to time to update you on fundraising and charity news, this is likely to be no more than 3 times a year and you can contact us to stop at any time.

 

Please advise below if you would be happy for the charity to keep in touch with you in this way.

If yes, how would you like us to contact you?
  • Email
  • Phone
  • Post
Today's Date (dd/mm/yyyy)

Payment Information

Yes, reclaim Gift Aid on all my donations so that each £1 is worth an extra 25p to the difference. This declaration is valid for the current tax year (6 April to 5 April), the previous four tax years and all future years. I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for year of a donation that is at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT and Council Tax do not qualify.
Amount*
£
Name on Card*
Card Number*

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