Membership Form | Friends of Music in Mayfield

I apply to join The Friends of Music in Mayfield as:

A Member at £50 per annum; Family Members at £80 per annum;
A Patron at £150 per annum; Family Patrons at £250 per annum;
A Gold Patron at £ (insert amount that suits you) per annum

Please note that the standing order should be set up by you directly with your bank.

Barclays Bank; Friends of Music in Mayfield; Sort Code: 202791; Account No: 70011932

* Annual subscription value (£)

* Please provide the date the standing order was setup

I confirm that I have set up a Standing Order for my annual subscription; first payment now and then on 1 May next year and annually thereafter.

* Your name

First

Last

* Your email address

* Your address

Street Address

Address Line 2

City

State / Region / Province

ZIP / Postal Code

Country

* Name of your bank

* Account Name

* Sort Code

* Account Number

* Gift Aid

Yes

I want to Gift Aid my donation, and any donations I have made in the past four years, and any donation I make in the future, until further notice. 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 a tax year, it is my responsibility to pay the difference.

* Are you human?