Celebrations campaign form

We just need a few details to get you started in inviting your friends and family to donate in honour of your occasion

If you have any queries, please do feel free to contact us on fundraising@nightingalehammerson.org. If you are under 18 years of age, please ask an adult to complete this form for you.

I confirm I am over 18 years of age *

PERSONAL DETAILS

Name(Required)

Title First name Last name

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

EVENT DETAILS

What are you celebrating?(Required)

e.g. birthday, Bar mitzvah, anniversary

Date of celebration(Required)

DONATION PAGE

Would you like us to create a donation page for you on the Nightingale Hammerson website?(Required)

A donation page is a way for your friends and family to donate to your celebration online. You will be able to share a link with them so that they can visit your fundraising page directly. It may take up to 7 working days for your donation page to become live on our website. We will send you an email to confirm when the page along with your link so you will be able to share it with others.(Required)

If yes, please provide a short message to display on our website for people to read and donate towards.

Upload a photo/ image for your donation page

If no photograph is uploaded, Nightingale Hammerson will use a generic image for your celebration page. By uploading a photograph, you agree Nightingale Hammerson can use it on their website for your celebration.

Max. file size: 512 MB.

Please tick here if you are happy for Nightingale Hammerson to use the photograph for future marketing purposes (website, social media or adverts)

HOW CAN WE CONTACT YOU?

If you would like us to send you further information about Nightingale Hammerson such as how you can support us, upcoming events or volunteering opportunities please tick how you would like to receive this information.

Email

Phone

Post

Celebrate with us

Please complete the form below to create a fundraising page

Set up a celebrations fundraising page

We just need a few details to get you started in inviting your friends and family to donate in honour of your occasion

PERSONAL DETAILS

EVENT DETAILS

DONATION PAGE

HOW CAN WE CONTACT YOU?