Roses to Remember Form

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I would like to dedicate a 'Tender Loving Care' rose today.

Step 1: Your Details

Address*

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

Price: £ 25.00
There is a maximum limit of 2 rose plants per order. This option will include a steel rose for each purchase
Price: £ 50.00

Step 3: Payment

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

Step 4: Gift Aid

Please tick your Gift Aid option*

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 aask us not to. Please tell us if there are other ways you'd like to hear from us.

Please tell us if there are other ways you'd like to hear from us:

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