Chiltern & Beaconsfield Cruse

Contact Details

Your Name:

* Required Field

Email address:

Telephone number
(including area code) :

Home address:

Preferred Method of Contact :

Telephone Select Preferred Time Any Time Any Morning Any Afternoon Any Evening Weekday Morning Weekday Afternoon Weekday Evening Weekend Morning Weekend Afternoon Weekend Evening
Email

Request for information

Please contact me about:

Receiving One-To-One Support

Attending the 'Bereaved By Suicide' Group

Attending the Woodside Social Group

Attending the Stokebury Social Group

Supporting Cruse & Volunteering

I would like to:

Make a Donation

If you are a UK taxpayer and are willing to allow Cruse to claim gift aid on your donation, please would you complete and return a Declaration form.

• Click on the following link to download it:- UK Taxpayer Donation Declaration Form
• OR:- Click in the box:- if you would like us to post you a Gift Aid Declaration Form

Donate a Gift in Kind - gifts or items to raffle

Donate a Gift in Kind - office supplies

Volunteer - I have admin skills and can help in the office

Volunteer - I have research and report writing skills and can help with the preparation of grant and funding applications

Volunteer - I could help with publicity by transporting publicity/awareness materials to various local venues

I would like to register on the next "An Introduction to Bereavement and Loss" Training Course, with the view to becoming a Bereavement Volunteer trained in Counselling Skills.
[Note: In order to work with clients on a one-to-one basis, bereavement volunteers have to first complete this training course. ]

Training with Cruse

Please send me information and Register me on the next "Aspects of Bereavement" Training Course in the autumn.

Please send me information and Register me on the next "Bereavement Counselling Skills" Training Course, I have already attended the "Aspects of Bereavment" Course.

Please contact me - I am interested in a Cruse Training Day or Evening for my group or organisation, in return for a small fee or donation to the Branch

Any other questions or comments

Thank you for completing the form please check your details and then click on the "Send Form" button below: