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  Please make a donation www.stjh.org.uk/donate
Yes! I would like to make a donation of:
My details:
Name: Address:
Town/City: County: Postcode:
Your donation today will help patients and their families. We will keep in touch with news of our work, fundraising activities and how you can get involved. If you prefer not to hear from us by post, please tick here n.
For more information about how your personal information is used please visit
www.stjh.org.uk/privacypolicy
By cheque (made payable to St Joseph’s Hospice)
My card details:
Name: Card No.
Valid from Valid to
Credit/Debit Card
Boost your donation by 25p for every £1 you donate with Gift Aid.
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 Joseph’s Hospice. 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.
Signature: Date:
Please return in the FREEPOST envelope or post to: Freepost RTKZ-XJHL-KGBG, St Joseph’s Hospice, Mare Street, London E8 4SA
 £
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