Sobell House
Memory Tree

Dedicate a leaf or flower to your loved one, on our special Memory Tree.
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Complete this form to remember someone special and support Sobell House

Step 1: Your Details

Step 2: Contact information

By email*
By phone
By post*

Step 3: Choose your dedication

£100

Bronze leaf

£200

Silver leaf

£300

Gold leaf

£500

Cow Parsley Flower

£100 – Bronze Leaf

Dedicate a bronze leaf to your loved one. Messages on the leaf are limited to 26 characters, excluding spaces. Your leaf will remain on the tree for 1 year, after which point you can choose to re-new it or take it home as a keepsake.

£200 – Silver Leaf

Dedicate a silver leaf to your loved one. Messages on the leaf are limited to 26 characters, excluding spaces. Your leaf will remain on the tree for 1 year, after which point you can choose to re-new it or take it home as a keepsake.

£300 – Gold Leaf

Dedicate a gold leaf to your loved one. Messages on the leaf are limited to 26 characters, excluding spaces. Your leaf will remain on the tree for 1 year, after which point you can choose to re-new it or take it home as a keepsake.

£500 – Cow Parsley Flower

Dedicate a Cow Parsley Flower to your loved one. Messages on the flower are limited to 50 characters, excluding spaces. Your flower will remain on the tree for 1 year, after which point you can choose to re-new it or take it home as a keepsake.

Step 4: Your dedication

/26

/50

Step 5: Payment Details

Step 6: Gift Aid

I want all donations I've made to you in the past four years and all donations in future to be treated as Gift Aid donations until I notify you otherwise.
I am a UK taxpayer and understand that if I pay less Income Tax 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 will notify Sobell House if I no longer wish for you to claim Gift Aid on my donations, or if my name or address changes.
We will claim 25p on every £1 you donate.

Yes I would like you to claim Gift Aid on my donation