Application form
Application form
I would like to support the Charterhouse during the coming year by joining the: (please tick one)
Supporters
Associates I would like to make an additional donation of £
Thomas Sutton Circle
towards the work of the charity.
Donor details
Title
First NameSurname
Address
Postcode
E-mail addressTelephone number
Friends of the Charterhouse will be acknowledged in relevant literature and online.
Please state how you would like to be acknowledged, eg Mr and Mrs H Smith
If you would prefer your support to be anonymous, please tick here.
Contact the Charterhouse
Payment Details
Please read ‘Making the most of your support’ in our brochure before completing this section, particularly
if you wish to pay using a CAF cheque or via a charitable trust or foundation, or if you are a US taxpayer.
I wish to pay (tick one)
By cheque, payable to ‘Sutton’s Hospital in Charterhouse’
By Credit/Debit card (Mastercard/Visa/Delta/Maestro)
the Charterhouse
By Direct Debit
Credit/Debit card payments
The Development Office, The Charterhouse, Charterhouse Square, London EC1M 6AN
Please charge £ to my credit/debit card
Card Number Security Code Start Date Issue No (Maestro)
Expiry Date
020 7336 7520
[email protected]
Signature Date
Registered charity no. 207773
VAT registration no. 108 2430 48
Become a Friend of
the Charterhouse
The Friends of the Charterhouse
Membership Benefits
Making the most of your support
The story of the Charterhouse is the story of our nation. Until recently, this story has
been largely unknown and now we are embarking on a new chapter by opening the gates
of the Charterhouse to visitors and, at this auspicious time for the charity, I am inviting
you to become a friend.
Supporters (£60)
Gift Aid regulations require us to declare the commercial value of the benefits we offer
our Friends. Part of your payment will be treated as a subscription for the provision
of membership goods and services, with the excess treated as a donation to the
Charterhouse.
Over its long history the Charterhouse has witnessed many of the events that have
shaped our nation. It began as the largest Carthusian monastery in Europe but with the
dissolution under Henry VIII the Charterhouse became a private mansion. Elizabeth I
convened the Privy Council in the Great Chamber at the beginning of her reign when it
was owned by the fourth Duke of Norfolk. James I followed her example by staying at the
Charterhouse before his coronation. And it was in 1611 that Thomas Sutton established
his charity which has lived here since that time.
Sutton’s will provided for up to 80 Brothers: ‘either decrepit or old captaynes either
at sea or at land, maimed or disabled soldiers, merchants fallen on hard times, those
ruined by shipwreck of other calamity’ as well as Charterhouse school to provide for
impoverished boys. James I retained his connection with the Charterhouse, becoming the
first Royal Governor of Thomas Sutton’s foundation.
Since then, the Charterhouse story has continued. Cromwell, Wellington and Gladstone
have all been Governors. The Charterhouse appears in the writings of Daniel Defoe,
Charles Dickens and William Makepeace Thackeray. Indeed, Thackeray, Robert BadenPowell and John Wesley attended school here. When the school moved to Godalming in
1872, the Brothers remained at the Charterhouse in Clerkenwell.
The Charterhouse story lives on. Large parts of the buildings were damaged in the Blitz.
Yet it was faithfully restored and nowadays, more than 40 Brothers make their home
here. The Charterhouse still has Royal Governors who, alongside the 16 other Governors,
guide our development well into the future.
Live our History for yourself
We hope that you will become a Friend of the Charterhouse. To find out more you can
email our Development Director Dominic Tickell ([email protected]) or
call him on 020 7253 9503 ext. 5). I look forward to welcoming you to the Charterhouse.
Priority notice of public events, including the annual Thomas Sutton lecture
Donor newsletter
INSTRUCTION TO YOUR BANK/BUILDING SOCIETY TO PAY BY DIRECT DEBIT
Please fill in the whole form using a ball point pen and send it to:
Sutton’s Hospital in Charterhouse
Charterhouse Square
London EC1M 6AN
Name(s) of account holder(s)
Service user number
4
Free tour for you and a guest
10% discount in the Charterhouse shop, once the museum opens
Associates (£600)
All the above, plus
Level Total
Subscription
Suggested Donation
Supporters
Associates
£60
£60
£600
£100 inc. VAT
£500
Thomas Sutton Circle
£5,000
£500 inc. VAT
£4,500
Biannual Brothers’ newsletter, written by the Brothers of the Charterhouse
Invitation to the Christmas drinks reception and carol concert
Crediting on the website and in the annual review
Crediting on the donor boards in reception (after 2 years)
Thomas Sutton Circle (£5,000)
All the above, plus
Preferential booking for holding a drinks reception or dinner in the Great Chamber
Invitation to the summer garden party
Invitation to the opening of the museum
4
9
3
6
Reference
Bank/building society account number
Invitations to private views and special tours
Priority booking for the Charterhouse lecture programme
4
Gift Aid
If you are a UK taxpayer, for every £1 you donate we can claim 25p in addition from HM
Revenue and Customs at no extra cost to you. If you are a higher rate taxpayer, you can
claim higher rate tax relief through your self-assessment return. Please sign the Gift Aid
section of the application form and help us to make the most of your donation.
Instruction to your bank or building society
Branch sort code
Please pay Sutton’s Hospital in Charterhouse Direct Debits from the
account detailed in this Instruction subject to the safeguards assured
by the Direct Debit Guarantee. I understand that this Instruction
may remain with Sutton’s Hospital in Charterhouse and, if so, details
will be passed electronically to my bank/building society.
Name and full postal address of your bank or building society
To: The Manager Bank/building society
Signature(s)
Address
Postcode
Date
American donors
If you are an American taxpayer please contact the Development Office for information
about how to make your donation.
Charities Aid Foundation (CAF), Charitable Trust or Foundation payments
CAF payments, or payments from your charitable trust or foundation, can only be
accepted for your donation, and not for the subscription part of the payment. If you
wish to pay from a CAF, charitable trust or foundation account, you will need to send a
personal cheque for your subscription and a charitable cheque for the balance. Please
contact the Development Office for further information.
The Charterhouse is a registered charity (no. 207773), officially known as Sutton’s
Hospital in Charterhouse. To enable us to make the most of your support all payments,
particularly those by cheque, must be made payable to Sutton’s Hospital in Charterhouse.
Gift Aid Declaration
I am eligible as a UK taxpayer and consent to the Charterhouse claiming Gift Aid on all donations
until I notify you otherwise.
Signature Date
I am not eligible as a UK taxpayer
You must pay an amount of UK income tax and/or capital gains tax at least equal to the tax that the
Charterhouse reclaims on your donations in the tax year. If in future your circumstances change and you
are no longer a UK taxpayer you should cancel your declaration. Please notify us in writing if you change
your name or address, or if you wish to cancel or amend your declaration at any time.
This guarantee should be detached and retained by the payer
THE DIRECT DEBIT GUARANTEE
This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits
If there are any changes to the amount, date or frequency of your Direct Debit Sutton’s Hospital in Charterhouse will notify you 10 working days in
advance of your account being debited or as otherwise agreed. If you request Sutton’s Hospital in Charterhouse to collect a payment, confirmation of the
amount and date will be given to you at the time of the request.
Beatrice Hollond, Chairman of the Friends of the Charterhouse
If an error is made in the payment of your Direct Debit, by Sutton’s Hospital in Charterhouse or your bank or building society, you are entitled to a full and
immediate refund of the amount paid from your bank or building society
– If you receive a refund you are not entitled to, you must pay it back when Sutton’s Hospital in Charterhouse asks you to
You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.