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Pilgrims Paths order form

To be part of Pilgrims Paths, please complete the form below. You can order and personalise up to four bricks per order.

For further information you can call us on 01227 782066 or email

Brick 1

Type of brick

Single brick at £50 (one name)
Double brick at £100 (two names)

Location of brick

Pilgrims Path Ashford
Pilgrims Path Thanet
Pilgrims Path Canterbury


Your Pilgrims brick will be engraved with the name of your loved one(s).

Please note: We can only include individuals' names, no dates or messages please.

Ordering a second brick

Gift Aid declaration

If you are a UK tax payer, the value of your donations can increase by 25% under the Gift Aid scheme at no additional cost to you! Please tick the box below to join the Gift Aid scheme. We can currently receive an extra 25p for every £1 you donate.

* Please be aware that you must have paid an amount of UK Income Tax and/or Capital Gains Tax at least equal to the amount of tax reclaimed by all charities and Community Amateur Sports Clubs on all your donations in the tax year (6th April one year to 5th April the next). Other taxes such as Council Tax and VAT do not qualify.

Your details

Thank you for your support

Your contribution will help us continue to care for patients and their families.

By providing your email address you are agreeing to receive emails from us about supporting Pilgrims Hospices.

From time to time we would like to send you updates about the hospice, our events and campaigns, by mail. If you do not wish us to contact you by mail or telephone please call our Supporter Services Team on 01227 782062 or write to us at the address above. We are registered under the Data Protection Act and will not disclose your details to any other organisation.

Terms and conditions

Pilgrims Hospices will have complete control over the location and date of installation of all bricks in the Pilgrims Paths. Thereafter the bricks will remain the property of Pilgrims Hospices. Pilgrims Hospices agrees to maintain the bricks for a minimum of ten years. Bricks may become worn, weathered or damaged by natural causes without any liability to Pilgrims Hospices. In exceptional circumstances Pilgrims Hospices reserves the right to relocate the bricks. Pilgrims Hospices reserves the right to refuse any application where the inscription is other than a name. Any amendments to the inscription provided on the order form must be notified within seven days of receiving the Certificate. Thereafter, Pilgrims Hospices will not be able to make changes to inscriptions. On receipt of your order form, your request will be subject to a) approval of it by us and b) remaining space in the Path. Once your request has been accepted, we will send out your certificate.