National Hospice Legacy Campaign year two – register your interest

First Name

Last Name

Email address

Name of hospice

Your data

We need your data so that we can successfully process this registration form.

We will never sell or swap your data and we promise to keep it safe and secure in accordance with the Hospice UK privacy statement.

Confirmation

Yes, I would like to register my interest

Once you've hit Submit below, please give the form up to 30 seconds to process the data and confirm you have registered your interest in the National Legacy Campaign for people to register interest in year 2 on our database. You will be taken to a confirmation page once it is processed.