Garden of Reflection Celebration

Register

Garden of Reflection Celebration

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1Your Details

2Event information

3Gift Aid

4Confirm

Your Details

Full Name*

Title First name Last name

Address*

Postcode Street Address City County Post Code

Email address*

Enter Email Confirm Email

Phone number*

How many are there in your party?*

Other

If you wish, please share a song title and artist you would like played during the day

Are you ordering a new Memory Lock or Memory Charm to place on the day?*

Yes, I would like to order a new Memory Lock to be placed at the Garden of Reflection Celebration

Yes, I would like to order a new Memory Charm to be placed at the Garden of Reflection Celebration

No, I have a Lock or Charm already and would like to visit it at the Garden of Reflection Celebration

Your Engraving

PLEASE WRITE IN CAPITAL LETTERS. Please avoid detailing relationship names such as 'Dad' to ensure that we can distinguish which heart belongs to whom.

First Name:*

Last Name:*

Your Memory Lock or Memory Charm Details

First Name:*

Last Name:*

Afternoon tea

Would you like to order an Afternoon Tea box to enjoy at the Celebration?*

Yes

Quantity*

Please enter a number from 1 to 20.

Please share any dietary requirements

Total

Your Gift Aid Details

Boost your donation by 25p of Gift Aid for every £1 you donate. Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer. In order to Gift Aid your donation you must tick the box below.

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 taxt year it is my responsibility to pay any difference. Please notify the charity if you want 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 the higher or additional rate and want to receive 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.*

I want to Gift Aid this donation and any donations I make in the future or have made in the past 4 years to Compton Care

I am NOT a UK tax payer

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 taxt year it is my responsibility to pay any difference. Please notify the charity if you want 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 the higher or additional rate and want to receive 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.

Can we keep in touch?

Compton Care will hold and use your personal data mainly for planning and administrative purposes. However, from time-to-time, we may also use this information to keep you updated about our work and how to get involved with either our fundraising activities, lottery, shops or volunteering.

Please note, we will never share your details with other organisations.

We will keep a record of your permission on file but should you wish to change your preferences at any time, just contact us on 0300 323 0250 or email marketing@comptoncare.org.uk For full details of our Privacy Policy please visit www.comptoncare.org.uk

If you are happy for us to use your email address for these purposes, please tick here

If you are happy for us to use your mobile to text you for these purposes, please tick here

If you are happy to hear from us by post, please tick here

If you are happy to hear from us by phone, please tick here

We will keep a record of your permission on file but should you wish to change your preferences at any time, just contact us on 0300 323 0250 or email marketing@comptoncare.org.uk

For full details of our Privacy Policy please visit www.comptoncare.org.uk

Additional Information

Please let us know how you heard about our Garden of Reflection Celebration*

How would you like to pay?

Payment Method*

Debit/Credit Card

Total

Support Us

Your support means we can be there for those who need it most

Are you able to join a Compton Care event, volunteer in one of our Compton Care shops or play our Lottery? Without your continued support, it wouldn’t be possible for us to provide our services, free of charge, to our patients and their loved ones.

Register

Garden of Reflection Celebration

Your Details

Your Engraving

Your Memory Lock or Memory Charm Details

Afternoon tea

Your Gift Aid Details

Can we keep in touch?

Additional Information

How would you like to pay?

Your support means we can be there for those who need it most

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Fundraise

Lottery

Shop

Volunteer

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