Food vouchers - Together for Short Lives

We have a limited number of M&S Food vouchers to give to families caring for a child with a life-limiting or life-threatening condition.

These vouchers can be redeemed in person at any M&S Store.

To find out more about these vouchers, please read the Q&A. Professionals are able to refer families for a M&S voucher by completing the online referral form.

Any other enquiries about the M&S vouchers should be sent to info@togetherforshortlives.org.uk

Full criteria can be found in the Q&A.

Food voucher referral form

This information is required for Together for Short Lives to enable a food voucher to be issued

Your information

Your first name(Required)

Your last name(Required)

Your contact number(Required)

Your email address(Required)

Your job title(Required)

Your place of work(Required)

Parent/carer's information

A £100 M&S voucher will be emailed directly to the family. If the family do not have access to an email account, please add their address below and the voucher will be posted.

Parent name(Required)

Number living in household(Required)

Town/city of residence(Required)

Parent email(Required)

Parent address (only required if voucher must be posted)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Ethnicity data (for monitoring purposes only)

Please choose the option that best describes their ethnicity(Required)

Professional declaration

I confirm that this family are known to the palliative care team(Required)

I can confirm

The family understand that the information collected on this form will be used for payment, audit and monitoring purposes in line with Together for Short Lives' Privacy Policy(Required)

I can confirm

I have checked the email and address and can verify it is correct(Required)

I can confirm

The family has been informed that Together for Short Lives will contact them regarding this gift(Required)

I can confirm