Please accept my gift to St Richard’s Hospice of

(including £4.95 for postage and packaging)

  • could pay for 3 hours of Hospice at Home care*£34.62 + £4.95 postage
  • could pay for a Day Hospice Nurse for an hour*£43.44 + £4.95 postage
  • can pay for a Family Support Counsellor for 5hrs*£64.37 + £4.95 postage
giftaid it

Say yes to Gift Aid and St Richard's Hospice will receive an extra 25p from HM Revenue & Customs for every £1 you donate. Please tick one of the boxes below. You can change this declaration any time by notifying us.

I confirm I am a UK taxpayer and would like all my donations to St Richard's Hospice (Registered Charity No. 515668) made now, in the past four years and in the future to be treated as Gift Aid donations. I understand that if I pay less income tax and/or capital gains tax in any tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.

Please notify St Richard's Hospice by calling us on 01905 763963 or by emailing if:

- You want to cancel this declaration
- You change your name or home address
- Your tax status changes and you no longer pay sufficient income tax and/or capital gains tax

If you pay tax at the higher rate you can claim further tax relief in your self assessment tax return

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Keeping in touch

* Occasionally we would like to get in touch with you to keep you up to date with our hospice news, activities and events.

Please let us know ways we can contact you by ticking the boxes below:

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* How did you hear about this year's celebration garden?

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Refund policy
We do not give refunds on donations unless there are exceptional circumstances and this is at the discretion of St Richard’s Hospice
 Registered Company No 01850502