RCM Friends Gift Membership Donation Form

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RCM Friends Joining Form
Please complete all the numbered sections, then return the form to:
Friends Administrator, Development Department, Royal College of Music,
Prince Consort Road, London SW7 2BS. Alternatively, call us on 020 7591 4331 or
email friends@rcm.ac.uk.
1. ABOUT YOU
Title:
________________________
Address:
___________________________
Forename(s): ________________________
Surname:
________________________
Tel:
________________________
Fax:
________________________
___________________________
___________________________
Postcode:
___________________________
E-mail:
___________________________
I already have a link with the RCM and am (please tick and delete as appropriate):
 a current / former student
 a current / former professor / member
 a parent of a current / former student
 other (please state)
of staff
____________________
2. ABOUT YOUR MEMBERSHIP
I would like annual membership of the RCM Friends (please tick appropriate level)
 Benefactor £500
 Friend £40
 Member of the Patrons’ Circle
 Best Friend £100
£1,200 p.a. or £100 per month
Additional donation
I would like to make a donation of
Totals
Membership subscription
Additional donation – thank you
£ ______________ to the work of the RCM.
£ ______________
£ ______________
Total amount
£ ______________
If you would like to arrange a Gift Membership, please also supply the name and
contact details of the recipient, together with a personal message and an indication of
when the membership details should arrive.
Call 020 7591 4331 for further details.
3. GIFT AID DECLARATION
If you are a UK taxpayer you can increase the value of your
donation at no extra cost to you by ticking the box and signing
below.
 I wish the RCM to treat all donations I have made for this
tax year and the six years prior to the year of this declaration,
and all donations I make from the date of this declaration until
I notify you otherwise, as Gift Aid donations. I understand that I
must pay 25p United Kingdom income tax of capital gains tax
for the £1 I have donated in the tax year. The Government will
add an extra 3p, so that the RCM will receive 28p for each £1
donated under Gift Aid.
____.
Signature_______________________________Date_______________
4. ABOUT YOUR AREAS OF INTEREST
Please tick any of the following boxes to let us know which aspects of the College you
are most interested in:
 Concert
 RCM Sparks: Community and outreach
 Performance History / Library /
 Other ways to support RCM students
 Operas
Museum
 Masterclasses
 I would prefer not to receive information and updates from other arts organisations or
associated companies carefully selected by the RCM
5. ABOUT YOUR METHOD OF PAYMENT
Please fill in one of the sections below.
A. Credit/Debit card
For reasons of security, we no longer accept card details through the post. If you wish to
pay by debit or credit card please call us on 020 7591 4331.
Alternatively you can make secure payment online at www.rcm.ac.uk/supportus
B. Cheque / CAF voucher
I enclose a cheque / CAF voucher for £__________
(made payable to the ‘Royal College of Music’)
C. Direct Debit
Royal College of Music,
London
Instruction to your Bank or
Building Society to pay by Direct Debit
Name and full postal address of your Bank
or Building Society
Branch Sort Code
–
To: The Manager
–
Bank/Building Society
Address
Postcode
Name(s) of Account Holder(s)
Bank/Building Society Account number
 I would prefer not to receive information and updates from other arts organisations
or associated companies carefully selected by the RCM.
Royal College of Music, London: Registered Charity No. 309268
Originator’s identification no.
6
7
0
3
2
5
[Reference number (office use only)]
by the Direct Debit Guarantee. I understand
that this instruction may remain with the
Royal College of Music and, if so, details will
be passed electronically to my Bank/Building
Society.
Instruction to your Bank or Building Society:
Signature(s)
Debits from the account detailed on this
Date
Please pay the Royal College of Music Direct
instruction subject to the safeguards assured
Banks and Building Societies may not accept Direct Debit Instructions for some types of account.
 I would prefer not to receive information and updates from other arts organisations
or associated companies carefully selected by the RCM.
Royal College of Music, London: Registered Charity No. 309268
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