The Little Hoot 2022 - Order Form
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Please fill in the form below to take part in the Little Hoot earning and community programme.
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School/ Organisation name *
Contact name *
Lead name (if different from contact name)
Address *
Phone *
Email *
Website *
Social Media Links/Tags
About your school
Number of pupils
About your group
Number of members
Delivery *
Required
Please tell us your top three reasons for getting involved *
Keeping in touch *
Required
From May 2018 data protection laws have changed. We cannot keep you informed  about St Elizabeth Hospice without your permission. Please tick the boxes below so that we can continue to share information and ask for your help. You can change or withdraw your contact preference at any time by phoning  01473 723600 or emailing fundraising@stelizabethhospice.org.uk
Payment
A deposit donation of £95 to be made to St Elizabeth Hospice will secure your sculpture and place on the learning and community programme. *We understand that we will be required to raise a minimum of £600 in addition to the deposit of amount. Payment can be made in one of the following ways:

Cheques
Made payable to: St Elizabeth Hospice
Sent to: The little Hoot, St Elizabeth Hospice, 565 Foxhall Road, Ipswich, IP3 8LX

BACS:
Sort Code 16-22-17
Account Number 12190600
Bank: RBS
Account name: St Elizabeth Hospice (Suffolk)
Reference: School/group name – Little hoot deposit

If you have any queries please email: thebighoot@stelizabethhospice.org.uk or call 01473 723 600
Privacy Policy
Please note that your details will not be passed on to any third parties in accordance with our privacy policy - www.stelizabethhospice.org.uk/privacy-policy
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