FRIENDS OF EXETERMUSEUMS AND ARTGALLERY

Registered Charity no. 306649

Application for Membership

To: The Membership Secretary

FEMAG

RoyalAlbertMemorialMuseum

Queen Street

Exeter EX4 3RX

*I/We wish to become (Please tick as appropriate)

Individual Member (£20)

Joint Members (£30)

Single Life Member (£150) 

Joint Life Members (£200) 

Corporate Member (£50)

of the Friends of ExeterMuseums and ArtGallery Trust

Name(s) and Title(s) (Block capitals please) ......

Address ......

......

Postcode ......

Telephone ......

E-mail ......

*I enclose *cash/cheque (payable to ‘FEMAG’) for the sum of £ ......

*I enclose a Bankers’ Standing Order

*I enclose a Gift Aid Declaration

*Please delete as appropriate

Signature ......

Date ......

FRIENDS OF EXETER MUSEUMS & ART GALLERY

Registered Charity no. 306649

Gift Aid declaration

I would like the Friends of Exeter Museums and Art Gallery Trust to treat as Gift Aid donations all qualifying gifts of money and membership subscriptions madeduring thelast 4 yearsand all qualifying gifts of money and membership subscriptions I make from the date of this declaration until I notify them otherwise.

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.

Details of Donor

Title ...... Forenames ......

Surname ......

Address ......

......

......

Postcode ......

Signature ...... Date ......

 ------

Please notify the Membership Secretary if you:

  • Want to cancel this declaration
  • Change your name or home address
  • No longer pay sufficient tax on your income and/or capital gains.

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Friends of Exeter Museums & Art Gallery, Royal Albert Memorial Museum & Art Gallery, Queen Street, ExeterEX4 3RX

FRIENDS OF EXETERMUSEUMS AND ARTGALLERY

Registered Charity no. 306649

Bankers’ Standing Order Authority

To the Manager

...... Bank plc

(Address) ......

......

......

Please pay now and on the 5th day of October 20 . . . . and in every year thereafter until further notice the sum of £ ...... ( ...... pounds)

toThe National Westminster Bank plc

Exeter Branch

59 High Street

Exeter

Devon

EX4 3DP

(Sort code 56-00-49)

for the credit of the Friends of Exeter Museums and Art Gallery Trust (Account no. 00657646)

Please cancel all previous orders to pay amounts to the Friends of Exeter Museums and Art Gallery Trust.

Name ......

Address ......

......

Bank Account title and number ......

Signature ......

Date ......

Please return this form to the Membership Secretary, FEMAG, RoyalAlbertMemorialMuseum, Queen Street, Exeter EX4 3RX