Create a Tribute Fund

Please fill out the form provided.

Create a Tribute Fund

Who's The Tribute For(Required)

JustGiving Total Raised Widget(Required)

This field requires a code snippet that can be generated easily from your JustGiving account following the guide provided here, please uncheck all options provided except 'Amount raised'. - Widget Guide

Link to Just Giving page(Required)

A description of the person and what they meant to you (150 words max)(Required)

Date of Birth (DD/MM/YYYY)(Required)

Date of Death (DD/MM/YYYY)(Required)

Contact name (this will not be displayed)(Required)

Contact email (this will not be displayed)(Required)

Upload a picture of your loved one (Recommended image dimensions: 250x250px)(Required)

Max. file size: 48 MB.

Consent

You can withdraw your consent at any time by contacting us on 01823 344437 or Lovemusgrove@SomersetFT.nhs.uk.

Love Musgrove will always store your personal details securely. For full details see our privacy policy.

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