Make a Will Month registration

To ensure we are able to process your Make a Will Month registration, we would like some initial information to assist us in contacting you. Once you click register you will be taken to a donation page where you may wish to donate to the Hospice. Every donation made to St Gemma’s as part of Make a Will Month will help provide much needed care and support to the patients and families who need us. We suggest a minimum donation of £125 for a basic Will or £175 for Mirror Wills.

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Name(Required)

First Last

Email(Required)

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Phone(Required)

Address(Required)

Address Line 1 Address Line 2 City County Postcode Country

Where did you hear about Make a Will Month?(Required)

Which solicitor do you intend to use?(Required)

Donation Amount

If you would like to donate please choose an amount or add your own

£125

£175

£225

Other amount

Other Single Amount

With Gift Aid, your donation of £0 would be worth £0.00 at no extra cost to you.

I want to add Gift Aid

I would like St Gemma’s Hospice to claim back the tax on any donations I have made in the last 4 years and all future donations, until I give further notice. I confirm 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 year it is my responsibility to pay any difference. Please notify us if you want to cancel this declaration, change your home address or no longer pay sufficient tax.

How we communicate with you

As a valued supporter we really want to keep you posted about news and events across St Gemma’s and to share how your support benefits local patients and their families. We will contact you for administrative purposes regarding this interaction. We will usually send you information by post; if you would also like to receive email updates please let us know. If you wish to change how we send you information or choose not to hear from us at all, there are a variety of ways you can do this. Ring us on 0113 218 5555, email supportercare@st-gemma.co.uk or update your preferences online at www.st-gemma.co.uk/mydata. For further information on how we use and store your details please visit www.st-gemma.co.uk/privacy. We will never sell your personal information.

I am happy to be contacted by email in future(Required)

Yes

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How we communicate with you