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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: