Buy a Brick

Phyllis Tuckwell, Hospice Care, Waverley Lane, Farnham, GU9 8BL View Map

THIS FORM IS TO BE COMPLETED BY CURRENT PHYLLIS TUCKWELL STAFF

My Details

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Last Name *

My Contact Details

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Phone Number *

My Address

Address Line One *

Address Line Two

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County

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About you...

Which department do you work in at Phyllis Tuckwell? *

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Your Brick

You have the option of having two lines of engraved text on your brick in black font. Please note, the 16 characters permitted per line includes spaces between words.

First line of text (maximum of 16 characters) *

Second line of text (maximum 16 line of characters)

KEEPING IN TOUCH

We have added your details to our postal mailing lists, in order to provide you with information about your Phyllis Tuckwell brick. We respect your personal information and privacy and will not share or sell your information to other organisations for marketing purposes.

Please tick here if you object to receiving occasional mail from us

If you are happy to hear about ways you can donate or raise funds for our vital work, in other ways please let us know below:

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Our Privacy Notice – protecting your personal data
Protecting your personal data Phyllis Tuckwell handles and retains all personal data in accordance with our Privacy Notice. The terms of this Notice are set out in full at https://www.pth.org.uk/privacy-notice/ or call 01252 729446 to request a printed copy.

Please use this number, or email [email protected] if you have changed your mind about how you would like us to contact you.