Further Information


If you would like further information on any of the items mentioned in this edition of St Giles Hospice News, or wish to support the specialist care the hospice provides, then please complete this form and return it to:


Freepost RRBA BSRE GTGZ, St Giles Hospice, The Stables, Catton Park, Walton-on-Trent, South Derbyshire, DE12 8LN. Email: enquiries@st-giles-hospice.org.uk


If you do stamp the envelope to save us money, please omit the line Freepost RRBA BSRE GTGZ from the address.Thank you.


About You TITLE


ADDRESS POSTCODE


TEL EMAIL


I/We wish to make a donation, and have pleasure in enclosing £ Make your gift worth 25% more by completing the declaration below.


GIFT AID. I am a UK tax payer* and would like St Giles Hospice to treat the enclosed donation, together with all donations that I have made for the four years prior to this year and all donations I make from the date of this declaration until I notify you otherwise, as Gift Aid donations.


*You must pay an amount of Income Tax and/or Capital Gains Tax at least equal to the tax that the charity reclaims on your donations in the appropriate tax year (currently 25p for each £1 you give).


SIGNED DATE


Payment details I would like to pay by cheque, payable to St Giles Hospice I would like to pay by credit/debit card, please debit my Visa


MastercardAmexMaestro/Switch Card Number


Last 3 or 4 digits of security code found on back of card, or front for Amex


Expiry Date Issue No.


Maestro/ Switch


NAME


Title


Card holder’s signature


Initials


Surname


Date


You can also donate online at www.justgiving.com/stgileshospice PLEASE TURN OVER


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