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Stay in touch

 

   





 





... and find out more about our work, 

fundraising activities and events!                             


We know you care about St Leonard’s Hospice and we’d like to stay in touch with you as we build our future. However, we need your consent to do this. Please complete the form below to give your consent. If you change your mind in the future just let us know. If you'd prefer us not to keep in touch, you don't have to fill in the form.

Your Details

Title *
 
First name *
 
 
Last name *
 
 
Email *
 
 
 
Phone number *
 
 
House name/number *
 
 
Address 1 *
 
 
Address 2
 
 
Town/City *
 
 
County *
 
 
Country *
 
 
Post code *
 
 

Age Declaration

Please tick if you are 16 or under


Contact Preferences

We know that you care about St Leonard's Hospice and we'd like to stay in touch with you as we build our future - but will only do so if you tell us that's OK.

Please tick to confirm your consent and preference. If you DO NOT give consent we will not be able to contact you again about our work, fundraising activities and events.

If you're 16 or under, we can still keep you updated but need your parent/guardian's permission. We will post you a form for them to sign.