Please complete the form and submit online with your gift to charity. Alternatively you can print the form and send it with a cheque to Tree of Light, c/o Rotarian John Cheeseman, Dormers, Wannock Road, Polegate, BN26 5JG.

Note that you can add names and donations right up till 24th December!

Your Name (required)

Address (required)

Post Code (required)

I wish to dedicate a light to (required)

Message to be entered in the Book of Remembrance (max length 250 characters)

A dedication from (required)

Your Email (required)

Gift Aid (See Below)

Gift Aid - To authorise Tree of Light to reclaim tax on the donation, you must pay an amount of Income Tax or Capital Gains Tax at least equal to the tax the charity reclaims on your donation.