Forest Forge Friends Membership Form (word version)

advertisement
Friends Membership Form
To become a Friend or to make a donation,
please complete the following and return it to us at:
The Theatre Centre, Endeavour Park, Crow Arch Lane, Ringwood, Hampshire, BH24 1SF
This form can also be used for membership renewals.
Name .........................................................................................................................................................
Email Address ………………………………………………………………………………………………………………………………………
(If you have an email address please enter it here – this will help save our costs and the environment)
Postal Address ……………………………………………………………………………………………………………………………….......
………………………………………………………………………………………………………………………………………………………….....
………………………………………………………………………………………………………………………………………………………….....
Postcode ………………………………………………………………………………………………………………………………………………
Telephone Number ……………………………………………………………………………………………………………………………..
What type of Friend would you like to be? (please tick)
 Good Friends – Individual £35
 Good Friends – Joint membership for 2 Friends living at the same address £55
 Many Friends – Group/Organisation £100
 Friend – Individual £15
 Friends – Joint membership for 2 Friends living at the same address £25
Please enclose a cheque payable to Forest Forge Theatre Company.
If you would rather transfer money into our Bank Account our details are below and please still send
the form back to us:
Account Name: Forest Forge Theatre Company
Account Number: 70386723
Sort Code: 20-72-37
N.B Please use your name as a reference
I would like to make an additional donation of £_____________ with my membership
Donations can be made by cheque or straight into our bank account as above.
Add Gift Aid to make your donation go further at no extra cost to you.
 Tick this box and we will claim Gift Aid on this and future donations from you.
By ticking the box, you understand that you must pay an amount of Income and/or Capital Gains Tax at
least equal to the value of tax that we or other charities reclaim on your gifts (currently 25p per £1 you give) in the tax year (6 April - 5
April). Please inform us if you wish to cancel this declaration; no longer pay tax equal to the reclaims on your donations; or change your
name or address..
Download