Take Time to Remember | Willow Foundation

My Details

First Name *

Last Name *

My Contact Details

Email *

Mobile Number *

My Address

Address Line One *

Address Line Two

Town/City *

County

Postcode *

Country *

What are your plans?

We'd love to know what you'll be doing, please let us know in the boxes below.

Please tell us the name of the person you are you remembering? *

Did your loved one have a Special Day experience? *

When is your Take Time to Remember event taking place *

What are you planning to do for your Take Time to Remember event? *

Donations

Choose an amount:

�10

�20

�50

Other (�)

No Donation

Gift Aid Declaration:

* 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.

KEEP IN TOUCH

Only with your support can we be here to provide seriously ill young adults with special days and treats. That's why we're asking you to let us keep in touch. By choosing to hear from Willow you'll receive updates on how your support has helped fund special days and treats, information on our other events and activities, volunteering opportunities and the occasional request for support. Please tick below if we can stay in touch, and remember you can change your mind at any time.

Email *

Yes No

Phone *

Yes No