Request a Giving in Memory pack
We'll use your data to register your interest in our in-memory giving service and to send you the information you’ve requested. We may contact you to ensure you have all the information you need.
Deceased's full name
What is your relationship to this person?
I'm their
Please select...
Partner
Parent
Child
Sibling
Step-parent
Step-child
Grandparent
Relative
Friend
Colleague
Pupil
Professional
Legal guardian
Other
Deceased date
Funeral date
If the date has not yet been confirmed, please leave blank.
How many donation envelopes do you require?
Please select...
10
15
20
Would you like a collection box?
Yes
No
Dedicating a gift in your Will
Did you know you can dedicate a gift in your Will to a loved one?
Would you like to receive our free Gift in Will guide?
Yes
No
Your details
Title
Please select...
Mr
Ms
Miss
Mrs
Mx
Dr
Prof
Rev
First name
Last name
Phone number
Phone type
Home
Mobile
Work
Email address
Postcode
Address line 1
Address line 2
Town / City
County
Stay in touch
Your support is helping to save lives, we look forward to keeping in touch with you by post and phone with information about research, support services and how you can get involved with our life saving work, for example through fundraising, campaigning or volunteering.
Would you like to hear from us by email?
Yes
No
Would you like to hear from us by sms?
Yes
No
Please tell us your mobile phone number
We promise to keep your details safe and never sell or swap them with anyone. Our
privacy policy
explains how we keep this promise. If you don't want to hear from us, or you change your mind about how we contact you, please email
enquiries@thebraintumourcharity.org
or call 01252 237792