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Under The Edge Arts: Friends membership form

Please fill in this form either on screen or print off, and send to:

info@utea.org.uk

Friends of Under the Edge Arts
18 Gloucester Street
Wotton-under-Edge
GL12 7DN

Want to Pay Online? Please click here to pay online and become a friend.


Your Details

Name(s):

Address:

Postcode:

Tel:

E-mail:

Membership Type

Single: £20 per year per person:

Family: £40 per year:

   No. of people in family:

Adults
Children

Life: £250

Optional extra donation: £

Total Payment: £

Payment Method

Standing order (preferred):

Please fill in the attached form and sent it to your bank or set up a standing order on-line using the details below.

Cheque: Payable to Wotton Arts Project

On-line transfer:

"Wotton Arts Project". Sort Code: 30-98-29 Account number: 04076566

Please add the reference: "Friends (your name)"

If you are a taxpayer please tick this box to increase the value of your subscription by 28% at no cost to yourself.
Please treat this gift and any future donations I make to Under the Edge Arts as Gift Aid donations.

Wotton Arts Project operates in accordance with the Data Protection Act 1998. Your personal details will only be used by us to send you information on activities at Under the Edge Arts, and for our own marketing purposes. if you have given your consent, we may occasionally pass on your details on to other organisations with similar aims and objectives.

Please tick if you do NOT wish us to contact you with details of other Under the Edge Arts activities:

Wotton Arts Project is a registered charity - number 1112129

Please Detach Here


Standing Order Form

It helps us keep our administrative costs down and we think makes your life easier if you pay by standing order. Please fill in and detach the form below and send to your bank manager or set it up on-line using the details above.

Under the Edge Arts: Friends scheme.

Your Details

Name:

Address:

Postcode:

Bank Name:

Bank Address:

Postcode:

Account Sort Code:

Account Number:

Please pay: Wotton Arts Project, Lloyds TSB, 12 Rowcroft, Stround, GL5 3BD

Sort Code: 30-98-29

Account No: 04076566

Reference: "Friends " (your name)

the sum of:

£ (in figures)

pounds (in words)

Payment to be debited on (date) and annually thereafter until further notice.

Thank you


Signed: ______________________________


Dated: ______________________________




Arts Centre Gloucestershire | Wotton Arts Project is a registered charity, number 1112129.   Copyright © 2003-2017 Under the Edge Arts