Memory Tree Donation | St. Michael's Hospice

1. Your Donation

2. Your details

3. Payment

4. Thank you

1. Memory Tree Donation

Please let us know the name of the person you are making a dedication to:

(Please note that dedications must be no more than 26 characters, including spaces)

Is this dedication new or a renewal?

New Dedication Renewal

Please select which dedication you would like to make to your loved one?

Bronze Leaf

£100 a year / £9 a month

Select

Silver Leaf

£200 a year / £17.50 a month

Select

Gold Leaf

£300 a year / £26 a month

Select

Sunflower

£500 a year / £43 a month

Select

Would you like to make a one-off donation or pay monthly?

One-off donation Pay monthly

£100 Other

Renewal amount

Please enter the amount you would like to donate, minimum £100.

£9 a month Other

Renewal amount

Please enter the amount you would like to donate, minimum £9 a month.

Pay Monthly options

Your pay monthly donation will be administered by GoCardless. They will take your first payment in the next 7 to 10 days and your second payment will come out on or near your preferred date.

What is your preferred collection day?

Please specify your preferred collection date. If the collection date selected falls within the next 6 days, the first payment may be collected the following month.

Gift Aid

Gift Aid will increase your donation by 25p for every £1 donated

Yes please I want to Gift Aid

No thank you

I want to Gift Aid my donation and any donations I make in the future or have made in the past 4 years to St. Michael’s Hospice (North Hampshire). 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. Please notify us if you wish to cancel this declaration, change your name or home address or no longer pay sufficient tax on your Income and/or Capital Gains. If you pay Income Tax at a higher or additional rate and want to receive 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.