The Memory TreeDedicate a leaf to someone special

Our Memory Tree

“Our Memory Tree is a way for us to thank our devoted supporters who make an extra-ordinary contribution to the work we do.”

Karen Freeman, In Memoriam Giving team

RockLeaving a gift to Saint Francis Hospice in your will can make a lasting difference to your localcommunity, as currently one in six of our patients are cared for thanks to a legacy. The rocksplaced around the roots of the Memory Tree will be dedicated to the memory of those whohave left us a gift in their will to symbolize legacies as being the foundations for the future ofhospice care. If you would like to discuss this further with us, please call 01708 771403.

This beautiful handmade sculpture is situated in a prime position in our hospice for allto see and offers a unique and meaningful way to pay tribute to the memory ofthose whom you hold dear, to commemorate the life of someone special or to marka special occasion.

The solid copper, brass and aluminium leaves are engraved with the names of yourloved one and will remain on the tree for as long as you wish. Every leaf engraved withthe name of someone special will not only be creating a unique personal tribute it willalso be supporting our patients and their families who need hospice care.

Leaf dedication options:Option 1 Option 2Dedicate a leaf for one year Dedicate a leaf for a suggested donation for a suggested donation of £10 a month by direct debit to of £120 stay on our memory tree for as long

as you wish (minimum of 12 months)

If you would like to dedicate a leaf on the Saint Francis Hospice memory tree, pleasefollow the 5 easy steps below.

1. Choose a leaf. Please indicate your choice of leaf in your preferred order. ie: 1stchoice, 2nd choice or 3rd choice.

2. Tear off, complete and send back the attached form.3. Confirm your inscription. Check the certificate that we send back to you to ensure

that the spelling of your loved one’s name is correct. (If it is not, please let us knowwithin 10 days)

4. Come and see it.We will call you to let you know when your leaf has been placedon the tree and you are welcome to come to the hospice to see your leaf, and thememory tree, for yourself.

5. Renew or keep? If you dedicate a leaf for one year we will then write to ask if youwould like to renew your leaf for another year or whether you would like us to sendit back to you to keep.

Registered charity no. 275913

Name(s) of Account Holder(s)

Branch sort code

Bank/Building Society account number

To the Manager of: Bank or Building SocietyAddress:

Postcode:

Add 25% to your gift without paying a penny more

Signature (s) Date

Instructions to your bank or building society.Please pay Saint Francis Hospice Direct Debits fromthe account detailed on this instruction subject to thesafeguards assured by the Direct Debit Guarantee. Iunderstand that this instruction may remain withSaint Francis Hospice and, if so, details will be passedelectronically to my Bank/Building Society. Banks andBuilding Societies may not accept Direct DebitInstructions for some types of accounts.

Yes, I would like to dedicate a leaf to(Please write the name clearly in capital letters)

______________________________________________________________Please choose the colour of your choice: 1st – copper brass aluminium

2nd – copper brass aluminium3rd – copper brass aluminium

I would like to give a monthly donation of £10 or my chosen amount of £__________________

OR, please find enclosed a cheque for £120 or my chosen amount of £___________________

If you would like to make a payment by credit or debit card please call 01708 771403

Your detailsMr /Mrs/Miss/Ms (please circle) First name Surname

Address

Postcode

Telephone Email:

Saint Francis Hospice Direct Debit

Saint Francis Hospice Reference No. (Office use only)

Instruction to your Bank or Building Society to pay Direct Debits. Service User Number: 430520

S F H D D -

We’d like to keep you up to date with our news and appeals by post and telephone. If you’d prefer not to receive informationin this way you can email us at srt@sfh.org.uk or call us on 01708 723593.

Tick the Gift Aid box and for every £1 you give, Saint Francis Hospice will receivean extra 25p from HM Revenue and Customs.To qualify for Gift Aid you must pay an amount of UK Income Tax and/orCapital Gains Tax at least equal to the tax that all charities will reclaim onyour donations for that tax year. I understand that taxes such as VAT andcouncil tax do not qualify. Please let us know if you tax status, name oraddress changes by calling 01708 723593.

Title Full Name (please print) Date

Please tick here YES, I want all donations I’vemade over the past four years and all futuredonations to be treated as Gift Aid until I notifyyou otherwise.

I think The Memory Tree is a fantastic idea and I have alreadysigned up to dedicate a leaf to my husband Les who sadlydied at the hospice in September 2013. The MemoryTree looks absolutely beautiful, a true work of art, andI’m sure it will bring comfort to people like me whohave lost someone so important. For me, it’s away of keeping my husband’s name alive and tohave him remembered in such a special place. Iam looking forward to visiting his leaf, and thetree, whenever I come into the hospice.

We were so grateful for the amazing carethat Les received and as Saint FrancisHospice is a charity it does rely so much ondonations. It’s heartening to know that bydedicating a leaf to Les on The Memory TreeI am contributing towards the care of futurepatients and their families; the care that was soimportant to us both.

Irene Duffett

FREEPOST RM209Memory Tree AppealSaint Francis HospiceRomfordEssexRM4 1BR

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Detach and stick this section onto an envelope and post your Memory Tree Request form to Saint Francis Hospice