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Dedication form – Light up a Life

Please use the form below to make a dedication to our Light Up a Life appeal 2021. See here for lots more information about this important event for our hospice family at this poignant time of year.

Call us on 01226 244244 or email if you have any queries or prefer to make a dedication by post or in person. Thank you for your donation.

Light Up a Life

  • Your details

  • Your dedications

    I would like my lights to shine for these people

  • Name Actions
    There are no Names.

    Maximum number of names reached.

  • Light Up a Life Home Pack

    (Pack contains a commemorative card listing the names of your dedications; details of how to access our online services; a candle to light during the service; a star decoration, in which you can place a photo of a loved one and a badge to wear close to your heart)
  • Payment Details

    You can find out more about Gift Aid here