Personal Details

Details
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*First Name
*Surname
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*Email Address
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Address
Enter postcode and optionally house number in address line1 then click 'Find Address'
*Postcode
*Address Line 1
*Town
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We would like to keep in contact with you regarding the hospice and other fundraising activities using the contact details you have supplied.
Email and SMS are quick and cost effective. Please let us know if you are happy for us to stay in touch in this way about hospice news, events and fundraising activities.
Post and telephone are also important ways we can communicate with you. Please tell us if you would rather we didn’t contact you in these ways
You can update your preferences or unsubscribe from marketing at any time by calling Alice House Hospice on (01429) 855555, emailing enquiries@alicehousehospice.co.uk or at http://www.alicehousehospice.co.uk/stay-in-touch.
Payment Details
Bank Details
Alice House Hospice
Wells Avenue
Hartlepool
TS24 9DA

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For any queries contact our Supporter Care No: 01429 855581

You will need your account details, which can be found on your cheque book or bank statement, to complete the direct debit instruction. Is the account in your name? Are you the only signatory required to authorise this direct debit? If not, please click here for a paper mandate (PDF format) which should be printed off and sent to us with all necessary signatures.