Download Brochure & Pledge Form

Download the 500 Club Brochure and Pledge form below or sign up using our online pledge form:

Your Commitment
*
- I/We would like to be part of the East Cheshire Hospice 500 Club and commit to making a donation of £500 a year for three years.
- I/We would like to be part of the East Cheshire Hospice 500 Club by raising £500 a year for three years.
Contact Details
Company Name*
Contact Name*
First Last
Job Title
Company Address*
Street Address Address Line 2 City County Postcode
Telephone Number*
Email Address*
Website
Facebook Page
Twitter
LinkedIn
Payment Method
*
- Online. Please visit www.eastcheshirehospice.org.uk/donatenow
- Direct Debit. We will send you the necessary forms to complete.
- BACs. We can provide you with our bank account details upon request.
- Cheque. Please make cheques payable to East Cheshire Hospice.
- Invoice. An invoice will be sent annually on the date you choose.
If Invoice, which date would you like to be invoiced on?
Confirmation
Signed by,*
Date*

Day
Month
Year

Your Commitment