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THE ACADEMY FRIENDS GIFT APPLICATION FORM

Thank you for choosing to become a Friend of the Academy of St Martin in the Fields. If you have any questions please contact the Development Department on development@asmf.org or by calling 020 7702 1377. All memberships are for member and a guest.

Amount:

Friends

£ 50.00

Supporting Friends

£ 150.00

Principal Friends

£ 500.00

Patrons

£ 1,001.00

Other

£

*

Gift Aid and Acknowledgment

Frequency:

On:
Starting: Ending:

Gift Aid:

I would like the Academy of St Martin in the Fields to treat as Gift Aid all donations I have made to the Academy today, in the past four years, and in the future until I notify otherwise. You must have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that the Academy and all other charities you donate to will reclaim on your gifts for that tax year. Other taxes such as VAT and Council Tax do not qualify. The Academy will reclaim 25p of tax on every £1 that you have given. What is Gift Aid?

Please specify how you would like to be credited:

Billing Information

Title:

First name:

*

Surname:

*

Country:

*

Postcode:

Address lines:

*

City:

*

County:

Phone:

Email:

*

Payment Information

Cardholder's Name:

*

Credit/Debit Card Number:

*

Card Type:

*

Valid From:

/	(Maestro/Switch/Solo only)

Card Expiry:

/

*

Issue Number:

(Maestro/Switch/Solo only)

Card Security Code:

*

Note: The Card Security Code is not required for Maestro, Switch and Solo cards.

*Your contribution is split between a voluntary donation and payment for benefits. Friend: Donation £24/Benefits £26; Supporting Friend: Donation £94/Benefits £56; Principal Friend: Donation: £419/Benefits £81; Patron Donation: £882/Benefits £118. Benefits are available to purchase separately without making a donation. Please notify us if you wish to cancel your Gift Aid declaration, if you change your name or address, or you no longer pay sufficient tax equal to the tax we reclaim on your donation.

The Academy Concerts Society is a registered charity number 289294

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Music Director: Joshua Bell
Life President: Sir Neville Marriner CBE
Principal Guest Conductor: Murray Perahia KBE
Academy of St Martin in the Fields is an operating name of Academy Concerts Society
Charity Registration No. 289294
Registered in England No. 1808488