Sponsor a £100 double brick with gold lettering

This is a wonderful way to make a lasting impression, remember a loved one, celebrate a life or a special occasion, whilst raising valuable funds for Valley Hospital Charity.

Contact details

First Name (required)

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Your inscription

Please enter the characters you would like inscribed on your brick - you have 15 characters per line, but remember that spaces and punctuation marks also count as characters.

First line (required)

Second line (required)

Third line (required)

Fourth line (required)

Payment

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