12.07.2015 Views

Summer 2013 Magazine PDF - St Raphael's Hospice

Summer 2013 Magazine PDF - St Raphael's Hospice

Summer 2013 Magazine PDF - St Raphael's Hospice

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

The Future of the <strong>Hospice</strong>By Dr Ron McKeran, ChairmanThe <strong>Hospice</strong> has received many worried phone calls, questions and concernsraised by patients, families, supporters and staff of <strong>St</strong> Raphael’s who have readreports about the future of both <strong>St</strong> Anthony’s Hospital and <strong>St</strong> Raphael’s <strong>Hospice</strong>.So I want to start this Newsletter by explaining what is happening and to assureyou that the declared position of the Charity’s Trustees is that <strong>St</strong> Raphael’s<strong>Hospice</strong> will continue as a <strong>Hospice</strong>.Dr Ron McKeran, ChairmanThe Trustees of the Charity, The Congregation of the Daughters of the Cross,which originally started <strong>St</strong> Anthony’s Hospital in 1904 and then opened <strong>St</strong>Raphael’s <strong>Hospice</strong> in 1987 are the legal owners of both the hospital and thehospice. The Trustees of the Charity are six of the Sisters (nuns) and theiraverage age is now 80. They have said, very understandably, that they cannot goon forever and want to assure the future for both the hospital and the hospice.The Daughters of the Cross Trustees have decided that they wish to sell <strong>St</strong> Anthony’s Hospital and are in the process ofpreparing to do that. We do not yet know a likely new owner, but I have to say that that there are great concerns becauseof the fact that <strong>St</strong> Anthony’s is one of very few hospitals left with a Catholic/Christian ethos. The Management Teamsof both the hospital and hospice, and the two Advisory Boards have all put forward an alternative proposal that a newCatholic/Christian based charity be formed, encompassing both <strong>St</strong> Anthony’s and <strong>St</strong> Raphaels together on the same site, withnew Trustees to take over the responsibilities of the existing Trustees. This would have the huge advantage that the supportwhich <strong>St</strong> Anthony’s Hospital currently gives to the hospice would continue.It is this latter point that has caused the concerns to which I referred at the beginning. Because the hospital and hospice arecurrently part of the same charity, the hospital gives an “invisible” subsidy to the hospice each year of about £1million. Thisrepresents the cost of all the “back room” and admin support services, things like catering, IT, personnel, payroll, site services,to name but a few. All are essential, but the hospital has provided these to the hospice over the years mainly free of anycharges. If the hospital is sold to a commercial concern, the question arises how long those services would continue to beavailable. Without them, the hospice would find itself in a situation where it would need to raise another £1million a year.The Daughters of the Cross Trustees have made it clear that <strong>St</strong> Raphael’s <strong>Hospice</strong> will stay under their ownership andresponsibility, for the time being. While this is very welcome reassurance, there remains considerable uncertainty in thelonger term. I hope that you will all continue to support the hospice through this difficult time and in particular support ourproposal for a joint new combined charity for <strong>St</strong> Anthony’s and <strong>St</strong> Raphael’s to ensure that both keep their unique ethos,and continue to operate as at present, but with new Trustees.Dr Ron McKeranChairman, <strong>St</strong> Raphael’s <strong>Hospice</strong>2


ConTENTSWhat’s in this Edition?Front Cover: Launch of the “Jubilee Centre” Page 1The Future of <strong>St</strong> Raphael’s <strong>Hospice</strong> page 2Contents & Contacts page 34The “Jubilee Centre” Opening page 4Platinum Abba in the Park page 5“What’s On?” June to December <strong>2013</strong> Page 6<strong>St</strong> Raphael’s <strong>Hospice</strong> News page 7Fundraising page 8-107Corporate Fundraising page 11Lottery / <strong>Hospice</strong> info page 12Contacts8<strong>Hospice</strong> EnquiriesAdmissions and Patient Support<strong>St</strong> Raphael’s <strong>Hospice</strong>London RoadNorth CheamSutton, Surrey SM3 9DXTel: 020 8335 4575Fax: 020 8335 4569E: enquiries@straphaels.org.ukRetail Shops(For collections of donated items)1a Lindsay RoadWorcester Park, SurreyKT4 8QJTel: 020 8330 4501<strong>St</strong> Raphael’s <strong>Hospice</strong>Registered Charity Number: 1068661FUNDRAISINGHAS MOVED!Both Fundraising –Tobit office & 700 LondonRoad office have re-locatedto premises at:SRH Fundraising (Tobit Office)1st floor Capitol House662 London RoadNorth CheamSutton, Surrey SM3 9BYTel: 020 8254 2450E: fundraising@straphaelshospice.org.ukThe new offices nowcombine all the <strong>St</strong> Raphael’sFundraising Team.June <strong>2013</strong>810Find out how you can helpRing T: 020 8254 2450 or visit www.straphaels.org.uk113


The “Jubilee Centre” OpeningL to R: Sister Francis Anne, Sister Clare Joseph, Sir John Major,Dr Marie Joseph and Dr Ron McKeranSir John Major openingthe Jubilee Centre2012 saw the relaunch of the Daycare Centre, aimed at providing more services tobetter meet the needs of as many people as possible in the communities we serve.The newly refurbished centre was unveiled by Sir John Major on the 29thOctober 2012. Being the 25th anniversary year of the opening of Saint Raphael’s<strong>Hospice</strong>, it was appropriately named “The Jubilee Centre”.Sir John Major met with nurses, patients and the <strong>Hospice</strong>’s volunteers – takingtime to praise their work.The aims of the new services are to provide holistic care – physical, emotional, social, psychological and spiritual support.Our services are lead by our palliative care doctors, clinical nurse specialists, complementary therapists, our psycho-socialspiritual team and our volunteers. Patients are referred to the service by the Clinical Nurse Specialist, the nurses in thein-patient unit, or by any member of the Psychosocial team.The services includecomplementary therapies,creative activities, chaplaincy,music therapy, counselling,bathing & hairdressing. Oncea month patients can accessfree legal advice from aSolicitor, CAB/Age Concernand a Social worker.The new services alsoprovide a monthly Carers’lunch club. A full list ofactivities is available on ourwebsite at:www.straphaels.org.uk/ourcaringservicesL to R: Phyllis Holmes* & Maria Cavadino,Jean Lamb & Zafar Bhatti enjoying an Arts& Crafts activity. *Phyllis Holmes is alsopictured on our front coverThe Jubilee Centre staff team: L to R:Maria Kelly (staff nurse) & CarolineSnow (Co-ordinator), Lucy Moore,Administration Assistant (not pictured)4


Live concert in aid of<strong>St</strong> Raphael’s HOSPICEfor the Greatest ABBA Night of your Life!Thursday 4th July <strong>2013</strong>Tickets: Adults £20 • Children £10 (16 & under)Call 020 8254 2450 orBOOK ONLINE www.straphaels.org.ukJoin us in the grounds of Nonsuch MansionNonsuch Park, Ewell Road, Cheam SM3 8ALBring your picnic and enjoy this fantastic entertainmentGates open 6.00pm Concert starts at 8.00pm FREE PARKING Registered charity Number 1068661Disclaimer: In the event of severe adverse weather which causes the concert to be cancelled or curtailed, with regret payment is non-refundable.5


What’s on – June – December <strong>2013</strong>DateEventVenue & timeCost of tickets, Organiser, NotesWednesday 19th June Quiz Evening <strong>St</strong> Bedes Centrebehind the hospiceSunday 23rd June <strong>Summer</strong> Fete <strong>St</strong> Raphael’s <strong>Hospice</strong> grounds,North Cheam, Sutton, Surrey.12:00noon – 4:00pmLots of fun for the whole familyFor further details contact Bob onT: 020 8337 3134 or Diana on T: 020 8641 3540For more information please callLouisa Hitchen on T: 020 8254 2467 or email:Louisa.hitchen@straphaelshospice.org.ukThursday 4th JulyPlatinum Abbain the ParkNonsuch Mansion,Nonsuch Park, Cheam.GATES OPEN:6pm for 8pm start.JOIN US FOR THIS FABULOUSNIGHT OF MUSIC IN THE LOVELYBACKDROP OF NONSUCHMANSION. BRING A PICNIC!Tickets £20 Adults, £10 Children (in advance).Book online NOW via the websitewww.straphaels.org.uk or callLouisa Hitchen on T: 020 8254 2450 or email:Louisa.hitchen@straphaelshospice.org.ukSunday 14th JulyBritish 10kRace starts at 0935Central LondonThe British 10K is the UK’s leading 10K road race!You’ll run a closed route past some of the country’s greatestlandmarks including Big Ben, The EDF London Eye, etcWe have guaranteed places available for a minimumof £150 sponsorship.If you would be interested in applying please callKerry Thomas on T: 020 8254 2465 or email:Kerry.thomas@straphaelshospice.org.ukWednesday 4th SeptemberQuiz Evening<strong>St</strong> Bedes Centrebehind the hospiceFor further details contact Bob onT: 020 8337 3134 or Diana on T: 020 8641 3540Sunday 8th SeptemberLondon to BrightonCycle RideLondon/BrightonContact Kerry Thomas, Community Fundraiserfor details on T: 020 8254 2465Saturday 21st SeptemberCheam FAMILYMidnightMemories Walk<strong>St</strong> Raphael’s <strong>Hospice</strong>, NorthCheam, Sutton, Surrey.5 mile circular walk starting/ending at the <strong>Hospice</strong>To register for this sponsored event or formore information please call Louisa Hitchenon T: 020 8254 2467 or email:Louisa.hitchen@straphaelshospice.org.uk<strong>St</strong>arts at 11pmSaturday 9th NovemberChristmas Fair<strong>St</strong> Bede’s Centre,behind the hospice10am to 3pmFun for all the family. Come along and get someChristmas bargains. Entrance £1 for adults, childrenfree. Contact Jan Cunningham on T: 020 8330 4501or email: Jan.cunningham@straphaelshospice.org.ukSaturday 16th NovemberTheWimbledon BallWimbledon Cannizaro House,West Side Common,Wimbledon, SW19 4UEFor details please contact Louisa Hitchen on T: 020 82542467 or Email: Louisa.hitchen@straphaelshospice.org.ukor Sheelagh McCarthy on T: 020 8254 2468 or Email:Sheelagh.mccarthy@straphaelshospice.org.ukSunday 17th NovemberChristmasCraft FairAt <strong>St</strong> Bede’s ConferenceCentre (behind the <strong>Hospice</strong>)North Cheam.11.00am-3.00pmAn indoor Craft Fair with a fantastic variety of stalls.Entrance is £1.00 for adults and free for children. Formore information or to book a stall please contactKerry Thomas on T: 020 8254 2465/2463 or email:Kerry.thomas@straphaelshospice.org.ukSunday 1st December“Light up a Life”Service<strong>St</strong> Raphael’s <strong>Hospice</strong>, NorthCheam, Sutton, Surrey.Service commences at 4.30pmand is an outdoor event.Annual Light up a Life service, in the grounds of<strong>St</strong> Raphael’s <strong>Hospice</strong>. For more informationplease contact Louisa Hitchen on T: 020 8254 2467or email: Louisa.hitchen@straphaelshospice.org.ukSaturday 7th DecemberWimbledonSanta DashWimbledon Common11am startTo register or for more information please callLouisa Hitchen on T: 020 8254 2467 or email:Louisa.hitchen@straphaelshospice.org.ukSaturday 14th DecemberNonsuch ParkSanta DashNonsuch Park, Cheam11am startTo register or for more information please callLouisa Hitchen on T: 020 8254 2467 or email:Louisa.hitchen@straphaelshospice.org.ukONGOINGParachute JumpsCentres across the UKMinimum sponsorship fee of £395 but jump for free!For details please contact Kerry Thomas onT: 020 8254 2465/2463 or email:Kerry.thomas@straphaelshospice.org.uk6


<strong>St</strong> Raphael’s <strong>Hospice</strong> NewsNEW PLANS AFOOT FORORANGERY EXTENSION!<strong>St</strong> Raphael’s have been awarded a grant from The Departmentof Health (DoH) for £510,000 towards the building of a newextension called “The Orangery”. <strong>St</strong> Raphael’s was one of 176organisations given a grant to support a wide variety of projects.The Orangery will be a large area joining from the Day Carebuilding. It will provide a café and facilities for patients and theirvisitors. There will be a bedroom for relatives to use for overnightstays whilst their family members are staying at the <strong>Hospice</strong>.Although the grant was not the full amount the hospice 7asked for,<strong>St</strong> Raphael’s can now make plans for this new extension to thehospice. The full cost of the new extension will be £920,000. Thebalance will be raised from other sources, including an appeal toCharitable Trusts and Foundations.The DoH grant is the third capital grant programme providedby the Department of Health and administered by Help the<strong>Hospice</strong>s, the leading charity supporting hospice care throughoutthe UK. <strong>St</strong> Raphael’s has received two previous grants, oneof £500,000 in 2010 for the replacement and upgrading ofall patient bathrooms in the hospice, the renewal of nursework stations outside each room and refurbishment of the<strong>St</strong> Raphael’s <strong>Hospice</strong> proposed Orangery extensionhospice mortuary, following a grant of £222,000 in 2007 for therefurbishment of the hospice building, plus carpets and curtains.Welcoming the announcement, Dr Ron McKeran, Chairman of <strong>St</strong> Raphael’s <strong>Hospice</strong> said: “We are absolutely delighted to havebeen awarded this grant, which will help us to better support people from across the Boroughs of Sutton and Merton with life-limitingterminal illness, as well as their friends and families.” The new Orangery still needs some funds but we are confident that it can beachieved, and it will be of real benefit to patients and their families”.It helps to underline the long term future for the hospice with support from both the Government and our local community.<strong>Hospice</strong>s are reliant on voluntary donations to run their vital services. The majority of this care is provided in peoples’ ownhomes, but people can also access day care, in-patient care and outpatient services.Each year, <strong>St</strong> Raphael’s needs to raise over £4 million to run all of its services, helping over 1,000 patients in the Sutton & Mertonboroughs. Three quarters of this cost (£3 million) each year needs to be raised by charity fundraising, donations, regular giving,lottery and legacies.Palliative Care conference L to R: Dr Muhayman Jamil,Father David Camilleri, Dr Mary Clarke, Dr Marie Joseph(Medical Director <strong>St</strong> Raphael’s) and Dr Frank SaranPALLIATIVE CARECONFERENCELast October, a 2 day conference was arranged by the<strong>Hospice</strong>, to mark and celebrate the 25th Anniversary of theopening of <strong>St</strong> Raphael’s <strong>Hospice</strong>. Dr Marie Joseph, MedicalDirector & Consultant in Palliative Medicine hosted the eventwhich was very well attended by Palliative care professionals,Oncologists, GPs, DNs, Psycho-social colleagues. Mr PaulBurstow, MP opened the conference. The sessions covereda range of key areas, including palliative oncology in lungcancer, end of life care in neuro-degenerative diseases,neuropathic pain, and cognitive behavioural therapy inpalliative care. Workshops were also provided in Challengingclinical scenario and Psycho-social/spiritual challenge. “Theconference was a great success, very well attended andfeedback from participants was very positive” said Dr Joseph.7


FundraisingGive your Quid appealTo mark the 25th anniversary of <strong>St</strong> Raphael’s<strong>Hospice</strong>, the Sutton & Wimbledon Guardiannewspapers ran a year long campaign entitledthe “GIVE YOUR QUID” appeal. The appealhosted various events throughout the year,involving many community groups and <strong>Hospice</strong>fundraising activities, including a Jubilee Walk,“Movember” appeal and a Firewalk (see below).Actress June Whitfield, CBE, launched the Appeal andencouraged everyone to take part. The final total raised was £76,000.<strong>St</strong> Anthony’s Hospital kindly agreed to “match fund” this appeal for the25th anniversary, making the total a fantastic £152,000! Our thanksgo to everyone who took part, The Guardian newspapersand the Trustees for making this a fantastic result.L to R: Pamela Lelievre and Pauline RidgleySanta Dash 2012Daniel (age 3) and Sarah (15 months) participated in the 2012Cheam Santa Dash. With Nanny and Grandad (Michael &Jane Bird) roped in, they walked/ran the three quarters of amile! “The raising of funds was a family effort” said Michael Bird.“Grandchildren were used shamelessly, persuasion, arm twisting,even offering to show photos so business acquaintances could haveproof of our run (and a smile at us dressed as Santas!)”.“We split our team. Grandma pushed the buggy; Grandad andDaniel ran together. Daniel was determined to beat Nanny so, bycareful race control, we kept just ahead of the Grandma/pushchairparty. I think we were all credited with the same time of about tenminutes. Happily, at the finish we were cheered by an adoring crowdof family and friends. We were also each presented with a medalfor completing the run. Daniel wore his for the next two days!”After all the family’s efforts, they were rewarded by raisingover £1,000 which Daniel presented to Suzi Forland, EventsFundraiser at the <strong>Hospice</strong> on his 4th Birthday! Well done Daniel!<strong>St</strong> Raphael’s receiving the match funding chequefrom <strong>St</strong> Anthony’s Hospital with June Whitfieldand The Guardian newspaperHOT STUFF!FIREWALK RAISES £20,000!9th October 2012 saw 39 brave individuals walk barefoot through red hotembers, burning at over 1200 degrees F! After a 1 hour motivational trainingsession, the walkers achieved their goal to the cheers of family and friends.Pamela Lelievre, who works at <strong>St</strong> Raphael’s <strong>Hospice</strong> as a volunteerreceptionist, said “I’ve always wanted to do this. I feel exhilarated and excitedand want to do it again. It’s fantastic to do something like this and raisemoney for the <strong>Hospice</strong> at the same time.”Pauline Ridgley, Fundraising Administrator, <strong>St</strong> Raphael’s <strong>Hospice</strong>, says “I’vebeen working for <strong>St</strong> Raphael’s for ten years and seen so many fundraisingevents, I thought it was time I did something. This was an incredibleexperience – I really enjoyed it. I probably would do it again. It was great tohave my husband and daughter here to support me.”L to R: Daniel Laccohee and Suzi Forland8


FundraisingAdventurersreach theSummit!A team of 9 local volunteers have successfullytrekked to the summit of Mount Kilimanjaro,raising £20,000 for <strong>St</strong>. Raphael’s <strong>Hospice</strong> on its25th anniversary.Led by seasoned explorer Roger Davies, thegroup tackled 5 terrains (tropical rainforests,shrubland, grassland, rocks and snow) to reachthe summit after 7 days.Roger said “I am proud of everyone who tookpart in this expedition. They demonstrated such Mount Kilimanjaro team reach the summit!determination to succeed – congratulations tothem all. It was the first time I climbed with my metal knee and it worked brilliantly”. Roger had his new knee fitted at <strong>St</strong>Anthony’s Hospital, the sister organisation to <strong>St</strong> Raphael’s.We would like to express our sincere gratitude to all of the volunteers who climbed Mount Kilimanjaro for going tosuch great lengths to support a very worthy cause.Keith Witham, Director of Fundraising for <strong>St</strong> Raphael’s <strong>Hospice</strong>, said “We want to congratulate Roger and his team forclimbing Mount Kilimanjaro – a fantastic achievement. A big thank you to them for raising so much money for the <strong>Hospice</strong>”.WELCOME TOTHE TEAM!We would like to welcome Kerry Thomas and EmilyNicholls to the <strong>St</strong> Raphael’s Fundraising Team. Kerry isour new Community Fundraiser and Emily is a Fundraiserwithin the Corporate, Community and Events team.Returning from maternity leave, Louisa Hitchen is nowour Events Fundraiser. They are based in the new officesat SRH Fundraising (Tobit office) at Capitol House, 1stfloor, 662 London Road, North Cheam,SM3 9BY T: 020 8254 2450.L to R: Kerry Thomas (Community Fundraiser)& Emily Nicholls (Fundraising Assistant)OVER A QUARTER OFA MILLION £’s!THANKS TO SUPPORTER GROUP FUNDRAISINGThrough Group efforts including; hosting craft fairs, music evenings, auction nights, Teas @ 3’s, open gardens, fetes,Christmas fairs, supermarket collections, Christmas card sales and co-ordinating can collections, our Supporter Groupshave raised a staggering £252,000 since Autumn 2006. They work tirelessly to help us gain as much support aspossible in our local Communities. Today we have 8 Supporter Groups in the following areas: Sutton, Wallington,Mitcham, Morden, North Cheam, Wimbledon & Merton Park, Wimbledon Village and Worcester Park.If you would be interested in getting involved, please contact Kerry on T: 020 8254 2465 / 24639


Corporate FundraisingA BIG THANKS TO ZURICHThe staff at Zurich have raised over £7,000 for <strong>St</strong>Raphael’s <strong>Hospice</strong> over the last year. They havesupported the hospice since 1997, raising a totalof £31,000 over the years.The last donation of £6010, the largest everamount raised, was raised through local staffinitiatives of tarot readings, a mini tuck shop,shoe cleaning, mufti days and a bike ride over theSurrey Downs.Zurich Community Trust always generously matchany money raised by staff and the latest donationincluded an amount that was raised across thewhole country, split between the ten offices.<strong>St</strong>aff from Zurich presenting a cheque to Sheelagh McCarthyOUR PATRONSThe <strong>Hospice</strong> Patrons Group was set up in2007 with a yearly target of £100,000. 2012was a very successful year with a number ofextra events attended, including an anniversaryball at Cannizaro House in April. Our annualWimbledon Ball last November was the mostsuccessful ever, raising almost £70,000!‘Charity of The Year’ supportWe are keeping our fingers crossed for a bumperyear of corporate support. So far we have heardthat Wilkinson <strong>St</strong>ores in Sutton will be fundraisingfor us, whilst Crown Agents, Zurich, Legal &General are continuing their support for anotheryear. Nisa <strong>St</strong>ores made a donation of over £5,000recently which was put towards a specialist piece ofequipment for our Motor Neurone Disease patients.Glenda Withall and <strong>St</strong>aff at the Sainsbury’s openingIf any of you work for a local or national companythat may consider supporting us, by fundraising/match funding please get in touch with ourCorporate Fundraiser, Sheelagh McCarthy.T: 020 8254 2468Sainsbury’s local Wallington opensWednesday 13th March saw the opening of Sainsbury’s 523rd convenience store. The new Sainsbury’s Local inWallington has chosen <strong>St</strong> Raphael’s <strong>Hospice</strong> as their annual ‘Local Charity Partner’ and will be supported by store staffthrough a year’s worth of funds and awareness raising. “<strong>St</strong> Raphael’s <strong>Hospice</strong> is our preferred local charity of the yearbecause of all the good work it provides in the community” – says <strong>St</strong>ore Manager Peter Leonard.Peter is starting off his support by running the British 10k in July and will be looking for sponsorship for his efforts.Other store staff are keen to embark upon sponsored events and in-store fundraising. <strong>St</strong> Raphael’s is delighted to workwith Peter and his team in making this a FUN-draising first for their newly opened store.Glenda Withall, <strong>St</strong> Raphael’s Lottery Promotions & Sales attended the opening, on behalf of <strong>St</strong> Raphael’s and was giventhe honour of cutting the ribbon!11


Please send me moreinformation on:Community Fundraising via local groups,organisations, schools, churches etc.Having a collecting can or boxat homeat workMaking a <strong>St</strong>anding Order (regular)donation – see reverseThe <strong>St</strong> Raphael’s Weekly LotteryRemembering the <strong>Hospice</strong> in my WillCorporate Fundraising and donationsFundraising at workChallenge events, eg the LondonMarathonVolunteeringFundraisingIn the <strong>Hospice</strong>In a <strong>St</strong> Raphael’s charity shopHelping at a <strong>Hospice</strong> Fundraising EventLocal Supporter Group (Fundraising)Helping with a public charity collectionName:Address:Contact Telephone no:Email:Do you have any personal reason foryour enquiry?


DonationFormCan you give a regular donation? ...or a one-offdonation to support <strong>St</strong> Raphaels’s <strong>Hospice</strong>?Many people find that a regular gift to <strong>St</strong> Raphael’s <strong>Hospice</strong> isa really special way to honour a loved one’s memory as it willhelp the <strong>Hospice</strong> to provide high quality care services for futuregenerations of patients and their families. This form allows youto make an annual/quarterly/monthly gift on a special day, like abirthday. Alternatively, you can give a one-off donation.1Please enter your detailsTitleSurnameAddressInitialsPostcodeTelephoneEmailDonation £(cheque payable to<strong>St</strong> Raphael’s <strong>Hospice</strong>)Name of person remembered(If applicable)Your relationship to themPlease let us know if your gift is being made to mark a special date2<strong>St</strong>anding Order for a Regular PaymentThis replaces any existing <strong>St</strong>anding Order you may have.I would like to give£ as an annual donation, Or £ per month,Or £ quarterly.Beginning on the(day)/ (month)/ (year)(Please allow 28 days before first payment)TO THE MANAGER Bank Name:Bank Address:Postcode:Bank A/c No.Bank Sort CodePlease pay the indicated amount, on the date specified, to: <strong>St</strong> Raphael’s <strong>Hospice</strong>,National Westminster Bank plc, 93 Central Road, Worcester Park, Surrey, KT4 8DZ.Sort code: 60-24-28 Account No: 03060586.Signed:For office use onlyToday’s date:/ /Use Gift Aid and you can make your donation worth more.3For every pound you give to us, we get an extra 25 pencefrom the Inland Revenue.Yes I am a UK taxpayerNo I am not a UK taxpayerI(Please clearly write your name)would like all donations I’ve made to <strong>St</strong> Raphael’s <strong>Hospice</strong> (Daughters of the Cross of Liege) Registered CharityNo: 1068661 since 6 April 2000 and all donations in the future to be Gift Aided. To qualify for Gift Aid, whatyou pay in income tax or capital gains tax must at least equal the amount we will claim in the tax year.Today’s Date: / / Signature:Thank you for your support(only one signature per Gift Aid form)Please return this form to: SRH Fundraising (Tobit Office), 1st floor CapitolHouse, 662 London Road, North Cheam, Sutton, Surrey SM3 9BYRegistered Charity No. 1068661Data Protection Act 1998. We would like to keep you informed about our work. Please contact us if you object to us sending you further information.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!