Make a dedication Please tell us the name(s) of the loved one(s) in whose memory you’ll be dedicating a light on our tree. 1st name 2nd name 3rd name 4th name 5th name Please tick this box if you do not wish your loved one(s) name(s) to be shown in our recorded service to be shown online. I would like to donate: About you First name Last name Address Address line 1 Address line 2 Town Postcode Email Phone number Add Gift Aid to your donation Boost your donation by 25p for every £1 you donate and allow us to claim tax on your donation through Gift aid. For example, if you donate £10, this can be turned into £12.50 with Gift Aid. I am a UK tax payer and want to Gift Aid my donation and any donations I make in the future or have made in the past 4 years to Greenwich & Bexley Community Hospice. I 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 the current tax year, it is my responsibility to pay any difference. Keeping in touch We’d love to keep you updated about out work and how you are making a difference to the people we support. We would like to send you information about our fundraising and events and other ways in which you can help us. We will write to you by post unless you ask us not to. Please tell us if there are other ways you’d like to hear from us. Yes, I am happy to receive emails Yes, I am happy to receive text messages No, I do not wish to be contacted by phone No, please don't send me information by post Thank you. We will keep your details safe and will only use them as outlined in our privacy policy. Proceed to payment