In Memory Tree Form

Dedication Details

I would like to dedicate a leaf on the Memory Tree at*

I would like to dedicate a*

First Line (16 characters)*

First Line (18 Characters)*

Second Line (18 Characters)*

First Line (18 Characters)*

Second Line (18 Characters)*

Third Line (18 Characters)*

First Line (18 Characters)*

Second Line (18 Characters)*

Third Line (18 Characters)*

Each year we will contact you to see if you’d like to pay for your leaf to remain on the Memory Tree for another year.

Your details

Title*

Other

First Name*

Surname*

Address*

Address Line 1 Address Line 2 Town/City County Post Code

Telephone*

Email*

Enter Email Confirm Email

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

I would like to receive emails about the work of Pilgrims Hospices
I would prefer not to receive post about the work of Pilgrims Hospices

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 [email protected].

Your support will help provide compassionate care to the people of east Kent, when and where they need us most. Thank you!

Total

£ 0.00