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Place a Memorial

To create a memory for a loved one, fill in the online form to create a memorial for a loved one who has passed away.

Southern Area Hospice Service's will review it before the page is created.


Please select a dedication:

I am a UK taxpayer, and wish Southern Area Hospice Services to claim Gift Aid on all donations I have made in the last four years and any future donations I make.  What is Gift Aid?

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I give or have given in the last four tax years.

Memorial Book Entry

Please enter your loved one's name as you want it to appear:

Add your dedication (optional):

Contact Details

Please enter your contact details below:


Please select a Payment Method:

Tick if you would like to receive information regarding products, services, news and promotions from Southern Area Hospice Services. We won't share your details with other companies. For more information about how we store your data view our privacy policy.