GIFT AID DECLARATION
FRIENDS of the
VICTORIA
Art Gallery
registered charity no. 1108344
I/We wish to apply (please tick as appropriate)
Standard Member
£25.00 per annum
Joint Members
£30.00 per annum
Senior 60 +
£20.00 per annum
Student Member
Life Member
£200.00
of the Friends of the Victoria Art Gallery
Bridge Street, Bath, BA2 4AT
Title ……… Forenames …………………….
Surname……………………………………...
(Block Capitals please)
Address………………………………………
……………………………………………….
……………………………………………….
……………………………………………….
Postcode ………….
Telephone ……………………………………
Email …………………………………………
*I/We enclose *cash/cheque (payable to The
Friends of the Victoria Art Gallery) for the sum
of £………………..
* I have made a direct bank payment
*I have set up a Bankers’ Standing Order
*I enclose a Gift Aid Declaration
*Please delete as appropriate
Signature……………………………………..
Date…………………………………………..
Title ……….. Forenames ……………………….
Surname………………………………………….
Address……………………………………………
……………………………………………………
……………………………………………………
…………………………………………………….
Postcode …………………….
I would like the Friends of the Victoria Art Gallery
(Charity no. 1108344) to reclaim tax on all donations or
membership subscriptions I make from the date of this
Declaration until I notify the charity otherwise.
Signature ………………………………………….
Date ……………………………………………….
Notes
1.
You must pay an amount of income tax and/or capital gains tax
at least equal to the tax that FOVAG reclaims in the tax year.
2.
If in the future your circumstances change and you no longer
pay income tax and/or capital tax that FOVAG reclaims, you
should cancel your Declaration.
3.
If you pay tax at a higher rate you can claim further relief in
your Self Assessment tax return.
4.
Please notify the Membership Secretary if you change your
name or address.
5.
You may cancel your Declaration at any time by notifying
FOVAG.
Thank you for your support
Registered Charity no. 1108344
Please return to the Membership Secretary
Victoria Art Gallery
Bridge St
Bath, BA2 4AT
fovagmembershipsecretary@outlook.com
FRIENDS OF THE VICTORIA ART
GALLERY
Bankers’ Standing Order
To the Manager………………………..Bank plc
…………………………………………………………
…………………………………………………………
……………………….(Bank address)
Please pay now and on the 1st day of April every year
thereafter, until further notice, the sum of
£……………
(…………………………..…….. amount in words)
To:
National Westminster Bank Plc
The Old Bank
15 High Street
Bath BA1 5AH
(Sort code: 56-00-34)
For the credit of The Friends of the Victoria Art
Gallery, account no. 00254053.
Please cancel all previous orders to pay amounts to the
Friends.
Name …………………………………………..
Address………………………………………….....
……………………………………………………
……………………………………………………
…………..Postcode …………….....
Your name and your bank account name, sort code and
account number
…………………………………………………...
.............................................................................
Signature ………………………………………..
Date ……………………………………………..
Please cut off and send direct to your Bank