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I would like to donate:

Yes, I would like to Giftaid my donations

Thank you

Choosing to Gift Aid your donation means we will now receive an additional £1.25 from HM Revenue and Customs at no extra cost to you.

St Columba’s Hospice can treat the enclosed donation and any future donations I give as a Gift Aid donation. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.

Single Donations are via Credit or Debit Card.

Please tell us

This bunting is dedicated to*:

My special message is:250250

Please tell us where you would like your dedication posted to:

How did you hear about this appeal?*:

Your dedication will be added to our Summer to Remember bunting display which will decorate Starbank Park during our appeal event on Sunday 19 August (1pm-3pm). We hope you can join us to celebrate our loved ones and enjoy an afternoon of music, entertainment and refreshments with glorious views across the Firth of Forth

Would you like to receive a thank you letter relating to this donation in the post?*:No thank you Yes please

Personal details

Title*:

First name*:

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Telephone number*:

Address*:

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Contacting you

Occasionally we would like to keep you up to date with details of our work, fundraising events and ways to get involved. Your information will not be passed on to third parties. However if you would rather not hear from St Columba’s Hospice in the future please tick this box.