Christmas Card Order Form

St Luke's Kenton Grange Hospice is your local Hospice. We provide care and specialist palliative treatment for our patients and offer comfort and support to their relatives and friends. Our care is provided without charge, regardless of colour, race or creed. This year our running cost are over £2.5 million and less than 30% is funded by the NHS. By purchasing your Christmas cards directly from St Luke's your support helps us to help others.

Thank you for supporting St Luke's Kenton Grange Hospice

HOW TO PLACE YOUR ORDER
1. Please Print Form out first then fill in your name and address in BLOCK CAPITALS including your postcode.
2. Indicate your selection on the order form.
3. You may pay by cheque, switch or credit card. Please cross cheques & make payable to: St Luke's Kenton Grange Hospice.
4. Post your complete order form and payment to: Fundraising Dept, St Luke's Kenton Grange Hospice, FREEPOST SCE 8472, Harrow, Middlesex HA3 0BR.
5. A Donation to cover postage and packaging cost would be appreciated.

Order Form 2006

Full Name

Home Address

Telephone No.

Christmas Card Order Form
Qty of Packs	Card Code	Card Description	Qty Per Pack	Per Pack
	CHRM16	Three Kings	10	£3.25
	CHRM62	Winter Sun	10	£3.50
	CHS86	Three Wise Penguins	10	£3.00
	CHRM78	It's Cold Outside	10	£3.00
	CHRM85	A Special Gift	10	£3.25
	CHS316	Dove of Peace	10	£3.25
	CHS323	Robin on a Flower Pot	10	£2.75
	CHS390	Madonna & Child	10	£3.00
	CHS416	Twelve Days of Christmas	10	£3.25
	CHS422	Poinsettia	10	£3.25
	CHS423	Shepherds	10	£3.50

			Total
FOR OFFICE USE ONLY			Donation £
Order No.	Sent	Date Received	P&P
			Total Payment

I enclose a cheque for £ ........... made payable to St Luke's Kenton Grange Hospice
I wish to pay by Visa / MasterCard / Switch and authorise you to debit my card
for £ ..............

Card No: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Expiry Date: __ __ __ __ Issue No: __ __ Start Date: __ __ __ __

Signed ................................................. Date ......................