Submit a dedication

Step 1 - About your loved one


First name
Surname
Message from
Message
 

Step 2 - Please choose an amount or enter your own below:




Or fill in the box below to choose how much you'd like to donate

 
 

Step 3 - Gift Aid your donation



 
 

Step 4 - Your details


Title
First name
Surname
Email address
Phone number
Mobile number
Address 1
Address 2
Address 3
Town/City
Country
County
Postcode
 

Step 5 - Updates from Martin House



We will thank you in writing for your donation. You will also receive confirmation from Worldpay that your payment has gone through their system.

Thank you for your continued interest in our work. We would welcome your future assistance and would like to send you updates about our latest work, appeals, forthcoming events, products and services so you can continue to support us and follow what we're doing. Your support is invaluable to us. We will never share your personal information with third parties for marketing purposes. You can opt out of receiving these updates by ticking the box below. For details of how we use your information, please see our privacy policy at www.martinhouse.org.uk/privacy