Pet’s Page Application

Please complete this form to let us know the name(s) of the pets that you have loved and would like to have displayed around the Telford Tree of Light.

Please keep messages short, otherwise they may be abbreviated and/or the whole entry will be printed in a small size font.

Please use a separate application if you are entering more than 3 names.

After submitting your application please make your donation – we suggest a minimum of £5.00 per name, but in this our thirtieth year £30.00 would be fantastic, thank you.

Title *

Initials *

Surname *

Email *

Email

Confirm Email

Address Line 1 *

Address line 2

Address Line 3

Postcode *

Contact telephone Number

Gift Aid *

• Yes
• No

Select Yes if you want Telford Tree of Light to treat this and any future donations as gift aid donations. This confirms that you have paid at least as much UK Income Tax and/or Capital Gains Tax for the year of donation as we, and any other charities and CASCs you donate to, will claim on your donation(s). I understand that other taxes such as VAT and Council Tax do not qualify, and that the charity will reclaim 25p of tax on every £1 that I donate.

Pet Name 1 *

Short message of Remembrance 1

Pet Name 2

Short message of Remembrance 2

Pet Name 3

Short message of Remembrance 3

Submit