Take a Seat Donation Form
Title Name ___
Address ____
Postcode____
Telephone____
Email____
Signature
Date DD/MM/YYYY
The cost of naming a seat in our cinema is £300 (or £325 if paying in instalments). Your chosen name or message will be in situ for 5 years*
I wish to name___ seat(s) in the Corn Exchange cinema
I enclose a cheque for £_____ made payable to Corn Exchange (Newbury) Trust
I would like to pay 5 annual instalments of £65per seat by standing order(please complete thestandingorder section on the next page)
Please write clearly below, your chosen name or message to be embroidered on the headrest cover (maximum of 40 characters):
To discuss naming a specific seat, or to donate by debit or credit card please call the Development Office on 01635 582666.
Arts Council England will be matching all new donations until September 2019 – doubling the impact of your gift.So a donation of £300 means £600 for the Corn Exchange!
Gift Aid
As we are a registered charity, for every £1 you give, we can claim an extra 25p from HMRC, at no cost to you.To make your donation go further, please sign the declaration below.
I confirm I have paid or will pay an amount of income Tax and/or Capital Gains Tax for each year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand Corn Exchange Newbury will reclaim 25p of tax on every £1 that I give.
Please claim Gift Aid on all qualifying gifts of money made… (Please tick all boxes that apply)
todayin the past 4 years inthe future
Signature
Date DD/MM/YYYY
Keep in Touch
We would love to keep you up to date with relevant information about our events and activities.We will only share your details with other arts organisations with your express permission, or if we are required to do so by law. You can change your mind at any time.
I am happy to receive information by:
PostEmailPhone
If you wish to opt-out of any marketing or fundraising exercises please email with your full name and postcode with the subject line: Opt Out. Please state clearly which programmes you wish to opt out of. Our full Privacy Policy is available at
We will always store your personal details securely. We’ll use them to provide the service that you have requested, and communicate with you in the way(s) that you have agreed to. Your data may also be used for analysis purposes, helping us to provide the best service possible.
*Terms and Conditions apply and are available to read at or you can ask at Box Office for a paper copy. Please note that seats will be allocated on a first come first served basis, and there is no guarantee that you will be able to sit in this seat when booking film tickets.
Standing Order Payment Details
If you’d like to pay in instalments by setting up a standing order, please complete the details below:
To be paid to:
The Corn Exchange, Natwest
Account No. 16255321
Sort Code: 60-15-07
Name of Account Holder______
Address______
______Postcode______
Name of Bank/ Building Society______
Address______
______Postcode______
Account No.______
Sort Code______
I would like to give £ ______per annum (£65 per seat), to
Corn Exchange (Newbury) Trust
Starting on 1 January 2018 (annually for a period of 5years) ending on 1 January 2022
Signature ______
Date_ DD/MM/YYYY
Please return this form, with your donation to:
Ruth Stillman
Corn Exchange,
Market Place,
Newbury
RG14 5BD
Or by hand to our Box Office.
Thank you!
Thank you for taking a seat in our Cinema! Your donations really do make a difference to all the important work we can do at the Corn Exchange.
Registered charity No: 1080567