Dedicate a Brick in the Wall of Light

It's great that you are interested in dedicating a brick in our beautiful Wall of Light. All we need from you is some information so that we can get back in touch with you to chat about your requirements and to make some arrangements.

Name*
First Last
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Phone*
Contacting you by email
By giving your email you consent for us to stay in touch in this way about Hospice News, Events and Fundraising Activities. To view our privacy notice please visit www.alicehousehospice.co.uk/cookies-and-privacy-policy or update your preferences at www.alicehousehospice.co.uk/stay-in-touch
Email
Enter Email Confirm Email
Who is your dedication in memory of
Please insert name
What wording would you like on your brick?
Please insert text
Price Options
Pricing is based on location within the Wall of Light | £500 - top two levels | £350 - middle two levels | £250 - two foundation levels
- £500
- £350
- £250
Would you like to spread the cost?
You can pay for your brick in the Wall of Light in ten monthly installments.
- I would like to pay in ten installments
- I would like to make a one off payment
How would you like to pay for your brick in the Wall of Light?
You can choose to pay in any of the ways below, please click on your preference
- Credit/Debit Card
- Cash
- Cheque
- Direct Debit

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