St Barnabas

Personal Details

*Title
*First Name
*Surname
*Home Tel No
Mobile Tel No
*Date of Birth
*Email Address
*Confirm Email
Address
Enter postcode and optionally house number in address line1 then click 'Find Address'
*Postcode
*Address Line 1
*Town
County
How did you find out about us?
Please Specify:


It’s only with your generous support that we can care for people in the local community with life-limiting illnesses. That’s why we’d like to keep you posted with news about our work, how your support can make a difference and the variety of ways you can support St Barnabas House. Please tick if you’d be happy for us to contact you in the future:

We will never share your details with any other organisations to use for their own purposes. You can find out more about how we use and look after your data at https://www.stbarnabas-hospice.org.uk/privacy-notice/

DDLogo

For any queries contact our Supporter Care No: 01903 871842

Email: Lottery@stbarnabaslottery.org.uk

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.

St Barnabas Hospices (Sussex) Ltd
St Barnabas House, Titnore Lane, Worthing, West Sussex, BN12 6NZ