LUAL 2017

Light Up a Life 2017

The festive season is fast approaching and this is often a time of joy but also a time to remember.

Light Up a Life is an opportunity to sponsor a light on a Christmas tree in memory or in honour of a loved one.

You will also have the opportunity to have a handwritten, personalised card delivered to you or sent to a friend or relative to let them know they are in your thoughts.

All donations go to support specialist palliative care at St Andrew’s Hospice.

Suggested Minimum donation: £5

If you sponsor a light after 12 noon on 22nd December, your card will not be sent until after the 3rd January, due to the holiday period.

Join us for a special gathering to remember loved ones and the lighting up of our Christmas Tree in the Hospice grounds (Henderson Street, Airdrie) on 3rd December. Service starts at 7pm.

Your Name*
First Last
Your Address*
Street Address Address Line 2 City County Postcode Country
Your Phone Number*
Your Email*
A light can be dedicated to a loved one who has passed away or in honour of an important person in your life.
How many lights would you like?*
Your Light Up A Life Donation*
Gift Aid?*
- Yes
- No
I confirm I authorise St Andrew's Hospice to treat all donations I have made for the four years prior to this / today / any future donations until I notify you otherwise as gift aid donations. I confirm I have paid or will pay an amount of UK income tax and/or capital gains tax for each tax year 6th April to 5th April that is at least equal to the amount of tax that all the charities or CASC that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and council tax do not qualify. I understand the charity will reclaim 25p on every £1 that I give. What is Gift Aid?
Total
£ 0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Please select the ways we can keep in touch with you:*
- Post
- E-mail
- Text Message
- Telephone
- No Contact
Light 1
Name of Loved One*
First Last
In Memory or In Honour?*
Town of Light*
From*
Card?*
Name - only complete if you want a card delivered to them
First Last
Address - only complete if you want a card delivered to them
Street Address Address Line 2 City County Postcode Country
Light 2
Name of Loved One*
First Last
In Memory or In Honour*
Town of Light*
From*
Card?*
Name - only complete if you want a card delivered to them
First Last
Address - only complete if you want a card delivered to them
Street Address Address Line 2 City County Postcode Country
Light 3
Name of Loved One*
First Last
In Memory or In Honour*
Town of Light*
From*
Card?*
Name - only complete if you want a card delivered to them
First Last
Address - only complete if you want a card delivered to them
Street Address Address Line 2 City County Postcode Country
Light 4
Name of Loved One*
First Last
In Memory or In Honour*
Town of Light*
From*
Card?*
Name - only complete if you want a card delivered to them
First Last
Address - only complete if you want a card delivered to them
Street Address Address Line 2 City County Postcode Country
Light 5
Name of Loved One*
First Last
In Memory or In Honour*
Town of Light*
From*
Card?*
Name - only complete if you want a card delivered to them
First Last
Address - only complete if you want a card delivered to them
Street Address Address Line 2 City County Postcode Country
Light 6
Name of Loved One*
First Last
In Memory or In Honour*
Town of Light*
From*
Card?*
Name - only complete if you want a card delivered to them
First Last
Address - only complete if you want a card delivered to them
Street Address Address Line 2 City County Postcode Country
Light 7
Name of Loved One*
First Last
In Memory or In Honour*
Town of Light*
From*
Card?*
Name - only complete if you want a card delivered to them
First Last
Address - only complete if you want a card delivered to them
Street Address Address Line 2 City County Postcode Country
Phone
This field is for validation purposes and should be left unchanged.

Light Up a Life 2017

LUAL 2017

Light 1

Light 2

Light 3

Light 4

Light 5

Light 6

Light 7

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