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Download our Lights of Love Brochure - Cherry Lodge Cancer Care

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DEDICATION FORM<br />

Please dedicate a light for:<br />

<strong>Lights</strong> <strong>of</strong><br />

1.<br />

<strong>Lights</strong> <strong>of</strong><br />

2.<br />

3.<br />

4.<br />

Y<strong>our</strong> donation will ensure that we continue<br />

to care and support those diagnosed<br />

with cancer and their families.<br />

If you would like to attend the tree lighting<br />

ceremony on Sunday 22nd November<br />

please indicate below and insert the number<br />

<strong>of</strong> people in y<strong>our</strong> group.<br />

YES NO Number attending<br />

THANK YOU<br />

for supporting <strong>Cherry</strong> <strong>Lodge</strong> <strong>Cancer</strong> <strong>Care</strong>.<br />

<strong>Cherry</strong> <strong>Lodge</strong> <strong>Cancer</strong> <strong>Care</strong><br />

Howard House<br />

23 Union Street<br />

Barnet EN5 4HY<br />

020 8441 7000<br />

Reg.charity no. 1011629<br />

www.cherrylodgecancercare.org.uk<br />

DESIGN DONATED BY NATHAN HALLETT - 020 8440 7148<br />

Supported by St John the Baptist Church


An Oak tree in the churchyard <strong>of</strong><br />

St John the Baptist Church in Chipping Barnet<br />

will be the focus <strong>of</strong> ‘<strong>Lights</strong> <strong>of</strong> <strong>Love</strong>’ and<br />

will provide the opportunity to remember<br />

someone special at this time <strong>of</strong> year.<br />

Y<strong>our</strong> donation will sponsor a symbolic<br />

light on the tree. You can have a light in<br />

memory <strong>of</strong> a loved one, to celebrate an<br />

anniversary, a birthday, mark a special<br />

occasion or just to show y<strong>our</strong> love.<br />

We will send a dedication card for each<br />

donation received for you to keep or give<br />

to the recipient.<br />

APPLICATION FORM<br />

Please print details clearly<br />

Name<br />

Address<br />

Postcode<br />

Telephone No.<br />

I enclose a donation <strong>of</strong> £<br />

Cheques made payable to <strong>Cherry</strong> <strong>Lodge</strong> <strong>Cancer</strong> <strong>Care</strong><br />

An invitation will be sent to you with y<strong>our</strong><br />

card(s) to attend the tree lighting ceremony<br />

which takes place on Sunday 22nd November.<br />

I am a UK tax payer/capital gains tax payer.<br />

Please treat all gifts <strong>of</strong> money that I have made in the past 6 years<br />

and all future gifts <strong>of</strong> money that I make from the date <strong>of</strong> this<br />

declaration as Gift Aid donations.<br />

The tree will be illuminated everyday<br />

<strong>Lights</strong> <strong>of</strong><br />

until January.<br />

Date____/____/2009 Signature

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