Order your leaf
Please select how many years you would like your tribute to be added to our memory tree.
£ 120.00
£ 240.00
£ 360.00
£    
Additional Information
Please select if you would like to pay for your tribute as a one off donation or in instalments (please note that if you select to pay in instalments you will be sent a Standing Order Form in the post to be completed and returned to us before payment is taken from you)
Type of gift:
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Billing Information
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Payment Information
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 (Maestro/Switch/Solo only)
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  Note: The Card Security Code is not required for Maestro, Switch and Solo cards.
Additional Security
This is a security measure to help prevent fraud.

Terms and conditions: 

St Teresa’s Hospice reserves the right to approve all wording and refuse any considered unsuitable.

All leaves remain the property of St Teresa’s Hospice until you choose not to renew its place on the memory tree, and we reserve the right to move or re-locate the leaves and the memory tree, if necessary.

Any amendments to the engraving provided on this order form must be made within 14 days of receipt of the acknowledgement letter to be effected.

After one year you will be sent a letter of renewal, at which point you can choose to leave the engraved leaf on the memory tree for another year or request to have it posted to you.

© 2012 St Teresa's Hospice. All Rights Reserved.