Friends and Patrons form

Friends and Patrons
Hull Chamber Music is extremely grateful for the continuing support it receives from its Friends and Patrons. Your donations are
vital to us, helping us to engage better-known performers and larger groups, while still keeping our ticket prices at a competitive
level. Details on the benefits of each level of membership are given at the end of this form.
I / we wish to renew my / our membership / become a member of the Friends / Patrons of Hull Chamber Music.
Name (BLOCK CAPITALS PLEASE)......................................................................................... AS YOU WOULD LIKE IT TO APPEAR IN THE LIST OF
FRIENDS AND PATRONS ON OUR WEBSITE AND IN CONCERT PROGRAMMES. NB KINDLY INDICATE FULL CONTACT DETAILS IN CASE OUR RECORDS ARE
INCORRECT OR INCOMPLETE.
Address.....................................................................................................................................................................
....................................................... Post Code............................. E-mail address.................................................................
Please note that the email address given may be used for reminders and any late information or changes to concerts.
Tick this box if you do NOT wish your name to appear in any published list of Friends and Patrons
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Please tick the appropriate boxes:
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I / we wish to be a Friend / Friends: suggested minimum donation £20 per person or £30 for two people at the same address
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I / we wish to be a Silver Patron / Patrons: suggested minimum donation £60 per person or two people at the same address
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I / we wish to be a Gold Patron / Patrons: suggested minimum donation £120 per person or two people at the same address
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I / we enclose a cheque for £........... payable to Hull Chamber Music
Gift Aid declaration. Please tick here if you think you have made this declaration previously:
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I am a UK taxpayer and would like all donations I have paid to Hull Chamber Music for the four tax years prior to the year of this declaration and all
donations made hereafter to be treated as Gift Aid, until I give notice otherwise.
I confirm that I 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 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 or Council Tax do not qualify. I understand the charity will claim 25p of tax on every £1 that I give on or
after 6 April 2008.
Title................Name.................................................................Home address...................................................................
....................................................................Post Code....................Signature.............................................Date..................
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Benefits
We would like to acknowledge with gratitude your donations of any size.
Friends will receive:
Acknowledgement in programmes and on Hull Chamber Music's website
In addition to the above, Silver Patrons will receive:
A complimentary programme at all Hull Chamber Music concerts
Invitation to at least one Patrons' event per season
In addition to the above, Gold Patrons will receive:
At least one opportunity to meet the artists per season
In all cases, the main benefit you will receive is the satisfaction that you are playing a major and crucial role in keeping international standard
chamber music performance in the Hull area!
HCM Membership Secretary
50 Exeter Street, Cottingham HU16 4LU
01482 840448; [email protected]
Registered Charity No 118145
www.hullchambermusic.org.uk
Chair: Dr Caroline Wood
HullChamberMusic
@hullchambermus