Light Up a Life Form

Please note: If you request dedication cards, they will be sent directly to you.

If you dedicate a light after 11 December your card(s) may be delayed in the Christmas post and may not be received in time for Christmas.

1) Your Personal Details

These should be the cardholder's details

2) Now please tell us the names of the loved ones for whose memory or honour you wish to dedicate a Light.

You may dedicate up to 7 lights on this form.
Please note: your dedication cards will be sent directly to you.
Light 1

3) Light Up a Life Service

Our Light Up a Life service will take place in the Hospice grounds on Sunday 3rd December at 7pm.

4) Next, we ask you to please make a Light Up a Life donation to St Andrew’s Hospice

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?

5) Payment

We really value your support and would like to stay in touch to keep you up to date on the work of St Andrew's Hospice including our events and fundraising activity. We will never sell or share information with other charities or organisations for marketing purposes not related to St Andrew's Hospice.