Light up a Life Sponsor a light to remember your loved one Our Light up a Life switch-on service is at 5.30pm , Sunday 11th December
To sponsor a light , please complete this form
Your full name : ………………………………………………………………………………………..………………………
Address : …………………………………………………………………………………………. Postcode :………………..
Tel :…………………………………………………. Email :…………………………………………………………………..
Please state how you would like the name of your loved ones to appear in our Books of Honour and the Light up a Life card we send you
Books of Honour
Your Light up a Life card FIRST NAME SURNAME A LIGHT IS SHINING FOR FROM
Please sponsor your light before Wednesday 7 December to ensure your name / s will be included in our Books of Honour
Your Light up a Life Donation
We kindly request donations from £ 5 per light , thank you I enclose a donation of £___ for my Light up a Life dedication / s I would like to order ___ silver heart decoration / s ( extra £ 5.00 each ) I would like to pre-order ___ Book / s of Honour *( extra £ 5.00 each )
Total Donation £__________
* books posted after Light up a Life
I want Wirral Hospice St John ’ s to treat my donation and all donations I have made in the last four years and all donations I make from the date of this declaration until I notify you otherwise as Gift Aid donations . 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 that tax year it is my responsibility to pay any difference .
Signed ___________________________________________
Date _____________________________________________
Communications Preferences
Wirral Hospice St John ’ s would like to use the information you have provided to contact you with news and information about the work , fundraising activities , events , goods and services of Wirral Hospice St John ’ s and its group companies . However , we may occasionally use carefully selected agents to process this information on our behalf .
I do not wish to receive mailings about Light up a Life I do not wish to receive telephone calls Please send me e-newsletters
We will not pass on your details to any other organisation . For more information on our data protection policy and to update your mailing preferences please visit : www . wirralhospice . org / communications-campaigns
Donation Payment Cheques payable to Wirral Hospice St John ’ s . Or please debit * my Visa / MasterCard : Card No ._ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _ Expiry date : _ _ / _ _
* please note that we are not able to accept American Express & Visa Electron
Please cut out and return to : Fundraising Office , Wirral Hospice St John ’ s , Mount Road , Higher Bebington CH63 6JE
0151 343 0778 | www . wirralhospice . org | Registered Charity No . 510643