Support for your celebration - St Elizabeth Hospice

Name(Required)

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Postal address:(Required)

Street Address Address Line 2 City County Postcode

Telephone number:

Email address:(Required)

Enter Email Confirm Email

Date of Birth:(Required)

Tell us if you have a connection to the hospice:(Required)

You may have received care yourself, had a family member or friend receive care, volunteer or attended one of our events previously.

What occasion are you celebrating?(Required)

How will you be celebrating?(Required)

Would you like a St Elizabeth Hospice fundraising pack with ideas and information emailed to you?(Required)

Yes please
No thank you

Have you set up an online donation page?(Required)

Yes, I have already
No, not yet

Please add the hyperlink below to your donation page:

Do you need our help to set this up for you?

Yes please
No thank you

Do you require any fundraising resources for your celebration? Tick all that apply:(Required)

I do not need any materials
Home collection box (small, made out of card)
Collection box (plastic)
Collection bucket
Poster materials

Is there any other support you need for the event?

Keep in touch - opt-in for marketing from St Elizabeth Hospice:

Please send me mail
Phone calls are ok
Please send me email
Please send SMS (text)

We would like to stay in touch with you to let you know how your support makes a difference, and other ways you can get involved. We will hold your personal information in accordance with the Data Protection Act 1998 and we will not pass on your personal information to third parties. View our privacy policy at: https://www.stelizabethhospice.org.uk/privacy-policy/

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