FRIENDS of the EAST ANGLIAN TRADITIONAL MUSIC TRUST
The East Anglian Traditional Music Trust is a registered charity no. 1082774.
MEMBERSHIP APPLICATION FORM
Please print off, complete and send (with cheque / payment details) to: EATMT,
The Old Stables, Museum of East Anglian Life, Stowmarket, Suffolk IP14 1DL
Forename .................................................... Surname ........................................
Forename .....................................................Surname .......................................
(for double membership only)
Address ...............................................................................................................................
.............................................................................................................................................
Postcode ................................................. Tel No ................................................................
Email .........................................................................................................................
TYPE OF MEMBERSHIP Single / Double (£10 / £20) £...........................
Additional Donation £ ...........................
Total £ ...........................
HOW WOULD YOU LIKE TO PAY?
If you would like to pay by cheque, please make it payable to EATMT.
Alternatively, you can pay by standing order by completing the following section and signing at the bottom of the page:
Standing Order - New Instruction
Account to be debited ............................................................................................
Sort Code .... .... .... .... .... .... Account Number ..............................................
Account Name .......................................................................................................
Bank Name and Address .........................................................................................
..............................................................................................................................
Payment Details
Amount £ .......................... Amount in words ...........................................................
Date of first payment ................................................................................................
To be paid annually until further notice (or until ...........................................................)
Beneficiary Details (to be completed by EATMT)
Bank: ............................................. Branch: ............................................
Sort Code: .... .... .... .... .... .... Account Number: .... .... .... .... .... .... .... ....
Beneficiary Name: East Anglian Traditional Music Trust
GIFT AID: MAKING YOUR MONEY GO FURTHER
If you pay tax, please help us by completing this GIFT AID DECLARATION (just tick the box below and sign) this will enable us to claim the tax back on your Friends payment / donation (for every £10 paid, we receive £12.80). Please ignore this section if it is not applicable to you.
|
Please treat all donations I have made since 6th April 2000, and all donations I make from now on, as Gift Aid donations, until I notify you otherwise. |
Signed ......................................................... Date .............................................