Douglas Macmillan Hospice - Caring in North Staffordshire

Light up a Life 2009
Donate Online.
Douglas Macmillan Hospice invite you to sponsor a Christmas tree light in memory of someone special to you and help raise vital funds for the Hospice.

Your Details

Title*
First Name*
Last Name*
Address*
Town/City*
Post code*
Telephone*
Mobile
Email*
Date of Birth dd/mm/yyyy
I would like to make a donation for a light, to shine in memory of: Type the names exactly how you would like them to appear in the BOOK OF MEMORIES (up to 5 names)
Name 1
Name 2
Name 3
Name 4
Name 5
• It may take between 14 to 21 days to send you a special card for each person named above. • Names received by 23rd November will be in the first print of the Book of Memories. • Names received after this date will be included in the updated book, printed on 18th December. *indicates a required field.

Donation details

Your donation:
Please enter the amount you would like to donate

If you are eligable to claim gift aid and tick the
box below your actual donation will be:

£XXX

A donation is worth more if you Gift Aid*
Yes, I am a UK tax payer* and I would like Douglas Macmillan Hospice to treat all donations I have made for the 6 years prior to this year, and all donations I make in the future as gift aid, until I notify you otherwise.

Please tick

*You must pay an amount of income or capital gains tax (e.g. work earnings, occupational or private pension, savings) in the UK equal to the money we can claim on your donations in the tax year. The Hospice can currently claim 25p for every £1 you donate from HM Revenue & Customs