11
St. Clare’s hosts an annual Tree of Lights service in the grounds of the Hospice. We extend an invitation for you
to join us and remember a loved one by dedicating a light on our Tree of Lights.
Your Dedication
I wish to dedicate a light in memory of:
First Dedication
Second Dedication
Third Dedication
(If you have more dedications, please write them on a separate sheet and attach to this form)
Your Details
Name:
Address:
Postcode:
Tel No:
Email:
(These details will not appear in the book and are for administrative purposes only)
Your Payment Details
I enclose a cheque for £
(Please make cheques payable to St. Clare’s Hospice)
OR
Please debit the amount of £ from my credit/debit card
(please delete as appropriate)
PLEASE NOTE THAT YOUR CARD DETAILS WILL NOT BE
RETAINED FOR ANY FURTHER TRANSACTIONS
Expiry Date: /
Start Date: /
Issue No:
Card Security Code:
(if present)
Name as it appears on card:
Card Issuer:
Card Type:
(eg. Visa, Maestro)
Gift Aid Declaration
In order to Gift Aid your declaration you must tick the box below
I want to Gift Aid my donation of £____ to St. Clare’s Hospice
I want to Gift Aid my donation of £____ and any donations I make in the
future or have made in the past 4 years to St. Clare’s Hospice
I am a UK taxpayer and understand that if I pay less income Tax/Capital Gains
Tax than the amount of Gift Aid claimed on my donations in that tax year it is my
responsibility to pay any difference.
Signed Date
Please notify us if you:
• Want to cancel this declaration
• Change your name or home address
• No longer pay sufficient tax on your income and/or capital gains.
If you pay Income Tax at the higher or additional rate and want to recieve the additional
tax relief due to you, you must include all your Gift Aid donations on your Self-
Assessment tax return or ask HM Revenue and Customs to adjust your tax code.
Please return your gift aid declaration using our freepost address:
Freepost RSYL-BASZ-GTXR, St Clare’s Hospice,
Primrose Terrace, JARROW, NE32 5HA
Light up a life this Christmas…
At St Clare’s Hospice, we understand that the loss of someone special
can be the hardest and loneliest of experiences.
Our Tree of lights remembrance service on Sunday 11th December 2016
offers a moment to reflect and remember friends and family who are no
longer with us and many people find attending our service of great comfort.
Everyone is welcome, regardless of whether your loss was recent, some
time ago, or if the person being remembered was cared for by St Clare’s
or elsewhere.
If you attend our service or make a donation you will be sent a special star
to write a message on in memory of someone dear to you.
We hope to make the event as special as possible for those who attend
and you are invited to attend the service by surname of your dedication,
as follows:
4:30pm Surnames A-M 6:00pm Surnames N-Z
Following the service, which includes carols and readings, we illuminate
our Tree, so that each light shines brightly as a symbol of a life cherished
and remembered. The Tree remains illuminated until the New Year and
acts as a shining memorial to thousands of people who are dearly loved
and missed and is a chance for you to pause and reflect on your own
treasured memories.
The name of your loved one will be recorded in our Tree of Lights
programme which is given to all who attend either service. The name
of your loved one will also be entered into our Book of Remembrance
alongside the names and memories of others, and will be available to view
at the service and at the hospice chapel throughout December. You are
welcome to view the book at anytime.
