memory tree - galway hospice foundation · the memory tree is a representation of how hospice care...

€8.50 €12.50 €21 Commencing on first payment date:

Bank Reference (to be completed by Galway Hospice):

Memory TreeEach leaf a beautiful way to remember a loved one

and support Galway Hospice care

www.galwayhospice.ie/memorytree

• Inscriptions per leaf are limited to 26 characters, including spaces.

• Inscriptions may, for example, be a loved one’s name, a family name, or

• Galway Hospice has the right to decline any donation or choice of wording for

• There are a limited number of leaves available on the Galway Hospice Memory Tree at any one time. In the event that the tree is full at the time of us receiving your form, we will let you know, and your leaf will be added as soon as a space becomes available.

• Please allow 3 weeks from the date of your order for your leaf to be placed on

• Leaves will be included on the Memory Tree for 1 year. After this time, we will contact you to ask if you would like to renew your donation. If you do not wish

• As leaves are strictly limited, any donation for a leaf is in addition to any funds already received through other events or campaigns and donations cannot

• In exceptional circumstances, Galway Hospice reserves the right to relocate

• Visitors are welcome to view the Memory Tree at any time at Galway Hospice.

The Galway Hospice Memory Tree is a wonderful way to remember loved ones and to celebrate Hospice supporters.

Our unique Memory Tree sculpture at the heart of Galway Hospice in Renmore has 320 beautifully crafted bronze, silver and gold leaves.

Each leaf can be engraved with the name of a loved one, a family name or company name.

The Memory Tree is a representation of how hospice care is growing both within our Inpatient Unit in Renmore and across the wider Galway community.

Galway Hospice must raise over €2.3million each year to provide our vital services.

Each leaf on the Memory Tree will raise valuable funds for the hospice, helping us to continue to provide care to our patients

and their families, free-of-charge, now and into the future.

Silver Leaf €150 one-off donation

Bronze Leaf€100 one-off donation

Gold Leaf€250 one-off donation

fundraising office.

to send you information from time to time, which could include fundraising activities and

I am happy for you to phone me My mobile number is:

I am happy for you to email me My email is:

Leaf Options (please tick)

Gold(€100 or €8.50 per month) (€150 or €12.50 per month) (€250 or €21 per month

Tax Efficient Giving: Donations of €250 (€21 monthly) or more in a year are potentially worth anadditional €112 to Galway Hospice.

spaces).

1. One-Off Donation

I enclose a cheque/postal order made payable to Galway Hospice

I would like to pay by credit/debit card

Expiry Date: Security Number: Donation Amount:

• Galway Hospice provides Specialist Palliative Care to patients and their

• Our ethos at Galway Hospice is to

environment, chosen by the patient

• Galway Hospice provides a range of

18-bed Inpatient Unit and Day Care Facility in Renmore, Galway and

Galway city and county and the

• Our patients can avail of various services including aromatherapy, creative therapy, physiotherapy, occupational therapy, chiropody and

• Galway Hospice also supports families of patients with a life-limiting illness and provides bereavement support after the death of a loved

• Hospice care is provided

In Lovin

g

Memory

Please complete overleaf and see option 2 for Monthly Donation by Standing Order

Our unique Memory Tree sculpture at the heart of Galway Hospice in

company name.

The Memory Tree is a representation of how hospice care is growing both within our Inpatient Unit in Renmore and across the wider Galway


hospice, helping us to continue to provide care to our patients

The Memory Tree has three beautiful leaves for you to choose from:

Silver Leaf €150 one-off donation or €12.50 monthly donation

Forever

in our hearts

Bronze Leaf €100 one-off donation or €8.50 monthly donation

In Loving

Memory

Gold Leaf €250 one-off donation or €21 monthly donation

Loved and

remembered

always

To dedicate a leaf on the

Memory Tree, please complete

the form and return it to the

fundraising office.

Dedication Options

to send you information from time to time, which could include fundraising activities and




Gold(€100 or €8.50 per month) (€150 or €12.50 per month) (€250 or €21 per month

Tax Efficient Giving: Donations of €250 (€21 monthly) or more in a year are potentially worth anadditional €112 to Galway Hospice.

spaces).

1. One-Off Donation




A little about us

• Galway Hospice provides Specialist Palliative Care to patients and their families learning to live with a life-limiting illness.

• Our ethos at Galway Hospice is to maximise quality of life for those with life-limiting illnesses in a homely environment, chosen by the patient and their families.

• Galway Hospice provides a range of services which include our 18-bed Inpatient Unit and Day Care Facility in Renmore, Galway and Community Palliative Care across Galway city and county and the adjoining islands.

• Our patients can avail of various services including aromatherapy, creative therapy, physiotherapy, occupational therapy, chiropody and hairdressing.

• Galway Hospice also supports families of patients with a life-limiting illness and provides bereavement support after the death of a loved one.

• Hospice care is provided free-of-charge to those who need it, for as long as it is needed.


Our unique Memory Tree sculpture at the heart of Galway Hospice in

company name.

The Memory Tree is a representation of how hospice care is growing both within our Inpatient Unit in Renmore and across the wider Galway


hospice, helping us to continue to provide care to our patients

Silver Leaf €150 one-off donation

Bronze Leaf€100 one-off donation

Gold Leaf€250 one-off donation

fundraising office.

Memory Tree Form

Y

Y

N

N

/

Contact Details

Name:

Address:

Eircode:

Company Name (if applicable):

Galway Hospice will not share your details with any third party organisations. We would like

to send you information from time to time, which could include fundraising activities and other information that we feel may be of interest to you.

We would be grateful if you could indicate your preferred method of communication below:




Bronze Silver Gold

(€100 or €8.50 per month) (€150 or €12.50 per month) (€250 or €21 per month)

Tax Efficient Giving: Donations of €250 (€21 monthly) or more in a year are potentially worth an

additional €112 to Galway Hospice.

Please engrave the following name or message on my Leaf: (limited to 26 characters including

spaces). PLEASE WRITE CLEARLY AND IN CAPITAL LETTERS.

Donation Options – Please choose your method of donation from options 1 or 2.

1. One-Off Donation



Cardholder’s Name:

Card Number:


• Galway Hospice provides Specialist Palliative Care to patients and their

• Our ethos at Galway Hospice is to

environment, chosen by the patient

• Galway Hospice provides a range of

18-bed Inpatient Unit and Day Care Facility in Renmore, Galway and

Galway city and county and the

• Our patients can avail of various services including aromatherapy, creative therapy, physiotherapy, occupational therapy, chiropody and

• Galway Hospice also supports families of patients with a life-limiting illness and provides bereavement support after the death of a loved

• Hospice care is provided

In Loving

Memory Forever

in our hearts Loved and

remembered

always

d


/ /

2. Monthly Donation by Standing Order

To: The Manager,

Bank:

Branch: Date:

Please charge to my account: Account Holder’s Name:

Account Number: BIC:

IBAN:

And pay to:

Account Name: Galway Hospice

Bank: Bank of Ireland

Branch: Mainguard Street, Galway

Account No: 45996235

Sort Code: 90-37-95

IBAN: IE55 BOFI 9037 9545 9962 35

BIC: BOFIIE2D

The amount stated below at monthly intervals (please tick):


Amount in words:

Signed: Date:


Please send your completed form to: FREEPOST, Galway Hospice, Renmore, Galway, H91 R2T0.

Thank you for your support of Galway Hospice


• Inscriptions may, for example, be a loved one’s name, a family name, or

• Galway Hospice has the right to decline any donation or choice of wording for


• Please allow 3 weeks from the date of your order for your leaf to be placed on

• Leaves will be included on the Memory Tree for 1 year. After this time, we will contact you to ask if you would like to renew your donation. If you do not wish

• As leaves are strictly limited, any donation for a leaf is in addition to any funds already received through other events or campaigns and donations cannot

• In exceptional circumstances, Galway Hospice reserves the right to relocate




CHY8837 | RCN 20022150

Galway Hospice, Dublin Road, Renmore, Galway, H91 R2T0.

091-770868 | [email protected]

Important Information


• Inscriptions may, for example, be a loved one’s name, a family name, or company name. The name will be inscribed as it appears on the form, so please check the spelling carefully.

• Galway Hospice has the right to decline any donation or choice of wording for inscription, including promotional messaging.


• Please allow 3 weeks from the date of your order for your leaf to be placed on the Memory Tree.

• Leaves will be included on the Memory Tree for 1 year. After this time, we will contact you to ask if you would like to renew your donation. If you do not wish to renew your donation, your leaf will be returned to you to treasure.

• As leaves are strictly limited, any donation for a leaf is in addition to any funds already received through other events or campaigns and donations cannot be backdated.

• In exceptional circumstances, Galway Hospice reserves the right to relocate the Memory Tree.


memory tree - galway hospice foundation · the memory tree is a representation of how hospice care...

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