Dedication Form - Isabel Hospice
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Make a dedication

Make a dedication in memory of anyone special to you, a family member or a friend, even if they were not supported by Isabel Hospice.

Lights of Love 21 – Dedication Form

£

Custom Amount

Fill out the form below

1. Your Details*

My Billing Address

2. Their Details

3. Donation

4. Gift Aid

Add £ 00 to your donation for free.

Gift Aid declaration

I would like to Gift Aid my donation and any donations I make in the future or have made in the past 4 years to Isabel Hospice from the date of this notice until further notice.

Please note: if this donation is one of the following, then we are unable to claim any Gift Aid on it:

  • Donation is made on behalf of someone else or is a collection from a number of people
  • Donation is in return for tickets or for goods and services provided
  • Donation is from a company

I am a UK taxpayer and 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 to charities in that tax year, it is my responsibility to pay any difference.

Please let us know if you want to cancel the declaration, change your name and/or address or no longer pay sufficient tax on your income and/or capital gains.

Your details are safe with us. We will never share them with anyone else. You can read our privacy notice on our website for further information: www.isabelhospice.org.uk/privacy

You are making a single donation of Change Amount

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5. Payment Method
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Terms

Donation Total: £25.00

By making a donation you agree to our Terms & Conditions

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