Call our 24/7 advice line for health care professionals and families if you need support with symptom management and end of life care - 01284 766133.

Change your details or cancel your membership

Please use the form on this page to update your details saved on our database.

If you feel you have a problem with any kind of gambling and would like to self-exclude from our Hospice gambling activities, please click here.

This field is hidden when viewing the form
Date
DD slash MM slash YYYY
Do you wish to change your details or cancel your membership?
Your previous details
Name
First Last
Membership number
Email*
Address*
House name/number and street Address Line 2 Town County Post code
Your details
Name*
First Last
Membership number
Email*
Address*
House name/number and street Address Line 2 Town County Post code
Your new details
Please use the fields below to notify us of any changes in your personal data.
Name
First Last
Email
Phone
Address
Street Address Address Line 2 City County Post code
This field is hidden when viewing the form
Protecting your data
St Nicholas Hospice Care will only use your data to inform you about general news, further support, and information about our services - to contact you, we may use post, email, telephone, or SMS.
You can learn more about data protection, changing your preferences or stopping contact at www.stnicholashospice.org.uk/yourdata or by picking up the phone and speaking with our Supporter Care team on 01284 715566.
Knowing how and why St Nicholas Hospice Care uses your data
Only with ongoing support can we continue to help those faced with dying, death and grief. Therefore, staying in touch with supporters like you is vitally important.
As a supporter, you may receive telephone contact and post regarding news, events, and fundraising from us, so you can hear how your support makes a difference and learn of other ways to get involved.
However, our communication should never feel excessive, so if you’d like to amend how we contact you, please visit our website www.stnicholashospice.org.uk/yourdata or speak with our Supporter Care team by phoning 01284 715566.
In addition to telephone and post, if you’d like to opt-in to receiving email and SMS for news, events and fundraising, please tick to confirm below.
- Email
- SMS
Please tick the following box to verify your submission
Phone
This field is for validation purposes and should be left unchanged.

Your Experience survey

Change your details or cancel your membership

Please use the form on this page to update your details saved on our database.

Your previous details

Your details

Your new details

Protecting your data

Want to hear more from St Nic's?

Your Experience survey

Change your details or cancel your membership

Please use the form on this page to update your details saved on our database.

Your previous details

Your details

Your new details

Protecting your data

Share

Call 24hr

Want to hear more from St Nic's?