Application Form (individually fill in per person)
Application Form (individually fill in per person)
Please return this form to: Membership Applications, Otley
Back Panel HeadingStreet, Otley, LS21 3AN
Courthouse,Courthouse
Please return this form to: Membership Applications, Otley
Courthouse,Courthouse Street, Otley, LS21 3AN
Name:
Address:
Standing Order
Postcode
Tel no:
Email:
Level of Annual Membership:
Please enter your bank/building society details
We sentence you….
Magistrates £10
This is a good place to briefly, but effec-
Bank/Building Society
tively, summarize
Crown £25 your products or ser-
Bank/Building Society Address
vices. Sales copy is typically not included
here.
Supreme £50
Name of a/c holder(s)
I wish to make an additional donation of:
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Cheque
Standing Order
Caption describ-
Branch sort code
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made payable
Otley Courthouse
(see opposite page)
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or
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Credit/Debit
Card:
Mastercard/Visa/Switch/Maestro
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A/c
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Name of Cardholder
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Card Details
Start Date
End Date
3 digit security no
Signed
Date
Instructions to your Bank/Building Society
Please arrange a standing order to Otley Courthouse
Project, Account number: 32471902, Sort code: 05-06-61,at
Yorkshire Bank, 10 Kirkgate, Otley, LS21 3HJ
in the sum of £__________.___
Issue No.
Gift Aid
If you are UK taxpayer, the value of your gift can be
Increased by 25p for every £1 you donate under the Gift Aid Scheme
-at no extra cost to you.
To be paid annually, commencing with immediate effect and
until further notice.
I am a UK taxpayer and would like The Courthouse Project (Otley)
Ltd to claim Gift Aid on all donations I have made in the last four
years and all future donations until I notify you otherwise. I understand that I must pay an amount in Income Tax and/or Capital Gains
Tax for each tax year( 6 April one to 5 April the next) that is at least
equal to the amount of tax that Otley Courthouse will reclaim on my
gifts for that tax year .
Signed
Date
Signed
Postcode
Name
Date
Name:
Address
… to be Our Friend…
&
join Otley Courthouse
www.otleycourthouse.org.uk
Tel:
About Otley Courthouse
Supreme Level
Phone: 555-555-5555
Fax: 555-555-5555
Email: [email protected]
£50 per person, per annum
All of the above from Crown Level
Exclusive Friends Dinner/Events
Courthouse Street
X2 comp tickets to one event
film per season
10% discount in the cafe
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One discounted film
show
Quarterly newsletter
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introduce your organization and describe
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Interesting facts that you may not know
about the Courthouse
Friends Scheme
To show our appreciation for your
generous donations we will offer you the
following benefits!
Magistrate Level
£10 per person, per annum
Priority distribution of the programme,
Early bird booking of tickets
to know more about the product or service.
here on the inside panels. Use these panels to
1. The Courtroom was in use as a court right up
to 1997!
2. The Police superintendent’s house was built in
1855, and was the first building on the sitewhich used to be an orchard!
3. The art room used to be a court. It was so tiny
that instead of the magistrates retiring
to reach their verdict, the detainee & police
had to retire downstairs and wait.
If you enjoy the variety that Otley Courthouse has to
offer, from regular classes and workshops to
theatre, music and film performances. We hope that
you will consider becoming a Friend of the
Courthouse and support our ongoing work,
preserving the heritage of the building and make us
the hub of the community.
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Your kind donations and continued support will
enable us to ensure that future generations can
really appreciate this multi purpose venue for many
years to come.
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reader.
your text to make it more scannable for the
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be brief and should entice the reader to want
specific products or services. This text should
The most important information is included
Crown Level
£25 per person, per annum
All of the magistrates benefits plus
Friends exclusive events
film each year
X2 comp tickets to one event