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Light up a Life Event
Light up a Life Event
1
Who would you like to remember?
2
Tickets for the event
3
Contact details
Please tell us the name of the person you would like to remember
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Tickets are free of charge, however, your donation towards the cost of the event and the work of the Hospice will be greatly appreciated.
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Please treat any donations I make in the future and have made in the past four years prior to the date of this declaration as Gift Aid donations unless I notify you otherwise. By ticking the box, I can confirm that I am a UK Income or Capital Gains Taxpayer and understand that if I pay less Income and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. I understand the charity will reclaim 25p of tax on every £1 that I have given.
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Senegal
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Somalia
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Sri Lanka
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Sweden
Switzerland
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Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
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Tokelau
Tonga
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Turkmenistan
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Venezuela
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Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Is this the same address as your billing address?
(Required)
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Address for Billing
(Required)
Street Address
Address Line 2
City
County / State / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Keeping in touch
Thank you for supplying us with your contact details. By supporting St Peter & St James we believe you have a legitimate interest in hearing more about the work of the hospice and will use your data accordingly. At any time, you can manage your preferences by visiting our website, by phoning us on 01444 471598 or by writing to us at St Peter & St James Hospice, North Common Road, North Chailey, Lewes, BN8 4ED or fundraising@stpjhospice.org.
If you would prefer contact by email, please tick this box.
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Our Care
Refer to Us
Patients
Inpatient Unit
Carers, Family & Friends
Living Well Centre
Support Us
Fundraising
Adopt a Donkey
Regular Giving
Sponsor a Room
Pay for a Day
Local Hospice Lottery
Give in Memory
Leave a Gift in your Will
Corporate Giving
Trusts and Foundations
Gift Aid
Events
Challenge Events
Supporter Events
Shine Bright 2025
Open Gardens 2025
Biz Quiz
Volunteer
Shop
Our Shops
Item Donation
House Clearance
About Us
Visiting Us
Working with Us
Palliative Care Nursing
Training
Team
Patrons
Our Mission
Annual Reports
Blog
Newsletter
Contact Us
Donate