Hospice of the Good Shepherd

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Thank you for your interest. So that we can assist you with your enquiry, please complete and submit the form below. Please note that by completing and submitting this form, you are giving us your consent to securely pass on your information to Hospice of the Good Shepherd, and a free membership account will be created for you on our website.

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Phone number We ask for your telephone phone number as a secondary form of contact. It is not mandatory, but may prove to be helpful as part of your application. Your phone number will only be used in relation to this application and will not be passed on to third parties.

Why do you want to participate?

Fundraising target: £1500

Our minimum fundraising target allows us to ensure we can continue to raise vital funds to provide care and support for our patients and their loved ones at a time when they need it most.

How much do you pledge to fundraise?

How will you meet your fundraising goal?

By clicking on the Submit button below:

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