Magnolia Tribute Fund form

Any gifts we receive from you will be put into your fund. If your friends and family would like to contribute please ask them to mention the name of the fund in their correspondence to Trinity.

Title (required)

First name (required)

Surname (required)

Email address (required)

Phone number

Address line 1

Address line 2

Town/City

Postcode

I would like to set up a Magnolia Tribute Fund in memory of...

Title (required)

First name (required)

Surname (required)

Please indicate your relationship with this person (required)

What would you like this Magnolia Tribute Fund to be called? (required)

(eg. John Smith’s Magnolia Tribute Fund)

Date of rememberance

Please let us know what you would like to do in memory of your loved one

We’d love to keep you posted with our news, activities and how you can help in other ways. We’ll never sell or swap your details with anybody else. Please indicate how you would like to hear from us by using the tick boxes below

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You can withdraw your consent at any time by contacting us on [email protected]

Royal Trinity Hospice will always store your personal details securely. For full details see our privacy policy www.royaltrinityhospice.london/privacy

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