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