Name: *

Memory Message: *

From: *

Name:

Memory Message:

From:

Name:

Celebration Message:

From:

I wish my light(s) to shine out on a tree at the service in: *

• Hospice In-patient unit
• Lincoln Cathedral
• Grantham & Sleaford
• Spalding
• Boston
• Sutton on Sea
• Gainsborough

Using the Gift Aid scheme means that for every £1 you give we get an extra 25p from the Inland Revenue helping your donation go further. To enable the hospice to reclaim the tax on your donation simply tick the box below. *

• I am a UK tax payer* and I want St Barnabas to treat all donations that I have made for the six years prior to this year and all donations I make from the date of this declaration until I notify you otherwise, as Gift Aid donations.
• Or I am not a UK tax payer

Future communications

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Card

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