Light Up A Life Donations Your Name (required) Contact Email Address Contact Telephone Number Postal Address: Postode: Your Postcode is essential for us to be able to claim Gift Aid on your donation, see below. Number of lights123456 Recomended £5 donation per light. Please enter names of those you wish to dedicate your lights to below: 1. 2. 3. 4. 5. 6. Gift Aid Declaration Yes I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference. I would like to gift aid my donation and any donation I make in the future or have made in the last four years Please notify St Margaret of Scotland Hospice if you wish to cancel this declaration, change your name or home address, no longer pay sufficient tax on your income and/or capital gains. Christmas Card Please let us know where you would like your Hospice Christmas card sent: Name: Postal Address: Postode: We must have your full postal address including your postcode to ensure safe delivery of your card.