Butterfly Appeal - Longfield Hospice

Purchase Option

Collection
Delivery

We are delighted you would like to support the Butterfly Appeal, please note you have selected to collect your butterfly from The Museum in The Park on Monday 5th April.

We are delighted you would like to support the Butterfly Appeal, please note you have selected to have your butterfly sent to you by post, after the display in mid-April. A charge of £5 per butterfly will be added to your donation for postage and packaging.

Your Name*

Title First Last

Your Billing Address*

Street Address Address Line 2 City County Postcode

Your Telephone*

Your Email*

How many butterflies would you like to purchase?*

How much would you like to donate today?*

£25
£40
£66
Other - a gift of your choice

How much would you like to donate today?

£50
£80
£124
Other - a gift of your choice

How much would you like to donate today?

Reclaim Gift Aid*

Add 25% more to your donation at no cost to you. A Gift Aid declaration allows Longfield Hospice to claim tax back on eligible donations. It means that for every £1 you donate to Longfield Hospice we can claim back 25p, at no extra cost to you

Yes, I confirm I am a UK taxpayer and would like all my donations to Longfield Hospice made now, in the past four years and in the future to be treated as Gift Aid donations
No, I am unable to Gift Aid my donation

My butterfly (ies) are in celebration of the life of:

These names are to personalise your thank you card, the butterflies cannot be personalised.

Would you like your butterfly(ies) delivered to your billing address?*

Yes
No

Recipient One Name

Title First Last

Recipient One Address

Street Address Address Line 2 City County Postcode

Recipient Two Name

Title First Last

Recipient Two Address

Street Address Address Line 2 City County Postcode

Delivery Charge

Price: £ 5.00

Delivery Charge

Price: £ 10.00

Contact Preferences*

We’d love to get in touch from time to time to keep you informed about the work of Longfield and provide you with exciting updates on our care, news and ways you can get involved. Please tick the boxes below to indicate your preferences on how you want to hear from us

Post
Email
Telephone
I do not wish to be contacted in future

How Would You Like to Make Your Donation?*

Total

£ 0.00