Letters of Hope (LOH) Christmas Gift Nomination Form

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Please complete this form with as much information to help us in fulfilling your request.

*𝐘𝐨𝐮 𝐜𝐚𝐧 𝐨𝐧𝐥𝐲 𝐧𝐨𝐦𝐢𝐧𝐚𝐭𝐞 𝟏 𝐢𝐧𝐝𝐢𝐯𝐢𝐝𝐮𝐚𝐥 𝐨𝐫 𝐡𝐨𝐮𝐬𝐞𝐡𝐨𝐥𝐝 𝐟𝐨𝐫 𝐭𝐡𝐢𝐬 𝐂𝐡𝐫𝐢𝐬𝐭𝐦𝐚𝐬 𝐀𝐩𝐩𝐞𝐚𝐥. 𝐈𝐟 𝐭𝐡𝐞 𝐢𝐧𝐝𝐢𝐯𝐢𝐝𝐮𝐚𝐥/𝐟𝐚𝐦𝐢𝐥𝐲 𝐲𝐨𝐮 𝐡𝐚𝐯𝐞 𝐧𝐨𝐦𝐢𝐧𝐚𝐭𝐞𝐝 𝐡𝐚𝐬 𝐚𝐥𝐫𝐞𝐚𝐝𝐲 𝐛𝐞𝐞𝐧 𝐧𝐨𝐦𝐢𝐧𝐚𝐭𝐞𝐝 𝐛𝐲 𝐬𝐨𝐦𝐞𝐨𝐧𝐞 𝐞𝐥𝐬𝐞, 𝐰𝐞 𝐰𝐢𝐥𝐥 𝐜𝐨𝐧𝐭𝐚𝐜𝐭 𝐲𝐨𝐮 𝐭𝐨 𝐫𝐞𝐪𝐮𝐞𝐬𝐭 𝐚 𝐧𝐞𝐰 𝐧𝐨𝐦𝐢𝐧𝐞𝐞.*

*𝐍𝐨𝐦𝐢𝐧𝐞𝐞𝐬 must 𝐫𝐞𝐬𝐢𝐝𝐞 𝐢𝐧 𝐭𝐡𝐞 𝐔𝐧𝐢𝐭𝐞𝐝 𝐊𝐢𝐧𝐠𝐝𝐨𝐦.*

*𝐍𝐨𝐦𝐢𝐧𝐚𝐭𝐢𝐨𝐧𝐬 𝐰𝐢𝐥𝐥 𝐛𝐞 𝐚𝐜𝐜𝐞𝐩𝐭𝐞𝐝 𝐨𝐧 𝐚 𝐟𝐢𝐫𝐬𝐭 𝐜𝐨𝐦𝐞 𝐟𝐢𝐫𝐬𝐭 𝐬𝐞𝐫𝐯𝐞 𝐛𝐚𝐬𝐢𝐬. 𝐏𝐥𝐞𝐚𝐬𝐞 𝐧𝐨𝐭𝐞 𝐭𝐡𝐚𝐭 𝐭𝐡𝐞 𝐫𝐚𝐭𝐢𝐨𝐧𝐚𝐥𝐞 𝐲𝐨𝐮 𝐩𝐫𝐨𝐯𝐢𝐝𝐞 𝐟𝐨𝐫 𝐲𝐨𝐮𝐫 𝐧𝐨𝐦𝐢𝐧𝐚𝐭𝐢𝐨𝐧 𝐢𝐬 𝐧𝐨𝐭 𝐢𝐧 𝐚𝐧𝐲 𝐰𝐚𝐲 𝐮𝐬𝐞𝐝 𝐢𝐧 𝐬𝐞𝐥𝐞𝐜𝐭𝐢𝐧𝐠 𝐧𝐨𝐦𝐢𝐧𝐞𝐞𝐬.*

𝐊𝐢𝐧𝐝𝐥𝐲 𝐫𝐞𝐟𝐞𝐫 𝐭𝐨 𝐭𝐡𝐞 𝐭𝐞𝐫𝐦𝐬 𝐚𝐧𝐝 𝐜𝐨𝐧𝐝𝐢𝐭𝐢𝐨𝐧𝐬 𝐨𝐟 𝐧𝐨𝐦𝐢𝐧𝐚𝐭𝐢𝐨𝐧 𝐟𝐨𝐫 𝐟𝐮𝐫𝐭𝐡𝐞𝐫 𝐠𝐮𝐢𝐝𝐚𝐧𝐜𝐞.

Please provide your email address - This will ensure we can contact you with any questions related to your request. *

Nominee's Name (*𝐘𝐨𝐮 𝐜𝐚𝐧 𝐎𝐍𝐋𝐘 𝐧𝐨𝐦𝐢𝐧𝐚𝐭𝐞 𝟏 𝐢𝐧𝐝𝐢𝐯𝐢𝐝𝐮𝐚𝐥 𝐨𝐫 𝐡𝐨𝐮𝐬𝐞𝐡𝐨𝐥𝐝*) *

Please provide First Name and Surname in that order OR Family Name (e.g. Adam Smith or The Smith Family)

Reason for Nomination *

Please explain why this individual/family has been nominated for this gift, kindly include the loss they have experienced. (Reminder - You can only nominate 1 individual or household for this Christmas Appeal)

Please select your preferred gift option: (*Subject to availability*) *

LOH Christmas Gift box {Book of Hope, Journal, Scripture Cards, Magnet, Pen, Snacks, Christmas Tea, A handwritten message of HopA

£40 M&S Gift Card

Please provide your nominee's postal address? This information is required in order to fulfil your request. *

Please provide your full name or as known by the recipient?

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