Donation form

Pilgrims helps thousands of people in east Kent each year who are facing incurable illness to live well in every moment. We do this by offering a range of support them, their carers and family at this difficult time in their life.

Your donation will help us continue to provide this care for the next person that needs us. Thank you!

Donation Amount*

Donation Amount

Reason for Donation*

What celebration are you donating in lieu of?*

Name of person whose celebration it is*

Please provide any additional details about this donation (Optional)

Name of person you're giving in memory of*

Relationship of person you're giving in memory of*

General Donation Reason

How did you raise money?*

Other reasoning

If you would like to leave us a message, please do so below:

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Your Details

Title*

Other*

Forename*

Surname*

Are you making this donation on behalf of a company or organisation?*

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Company/Organisation Name

Address*

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Email address*

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Telephone*

Mobile

I would like to receive my Thank You via*

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Post
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Gift Aid - Increase the value of your gift by 25%

Yes. Please treat all donations I make now, in the future, or have made to Pilgrims Hospices for the past 4 years as Gift Aid donations until further notice. I am a UK taxpayer and understand that if I pay less income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference. I understand that Pilgrims Hospices will reclaim 25p of tax on every £1 that I have given.
I am not a UK Taxpayer

Pilgrims Hospices will keep you up to date with exciting news, information and ways you can support us by post.

If you would prefer not to receive information by post please tick here
If you would be happy for us to contact you by email please tick here

If you wish to adjust the frequency or type of communications you receive from Pilgrims, please call Supporter Relations on 01227 782062 or email us at supporter.relations@pilgrimshospices.org.

Funds received will be used in accordance with Pilgrims Hospices vision to ensure that people with a terminal illness and their family and friends are supported and empowered to live well in mind and body until the very last moment of their life.

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