Please enter the names of your dedications below as you would like them to appear in the Names of Remembrance presentation at the Lights of Love service. I would like to dedicate a light:

Step 1: Your Details

Step 2: How I'd like to support the Hospice

Step 3: Payment

When you submit this form you will be taken through to our secure payment gateway.

Step 4: Gift Aid

Step 5: Keeping in touch

We would like to send you information about fundraising and events, and other ways in which you can help us. We will write to you by post unless you ask us not to. Please tell us if there are other ways you'd like to hear from us.