2009/10 54th Season
2010/11 55th Season
The PLG Friends Form
THE PLG FRIENDS
*I/We wish to encourage the activities of the PLG with the suggested donation
(please see ☼below) £______
and, in further support, an additional amount £______
Total £______
☼ Suggested donations
Friend £25 Joint Friends £40
Senior Citizen Friend £15 Joint Senior Citizen Friends £30
Student Friend [please enclose written status] £10
Please complete the Standing Order below or send a cheque.
CAPITALS PLEASE
Title __________ Name ____________________________________________________________
Address __________________________________________________________________________
_________________________________________________________________________________
Postcode _______________ Home tel ______________________ Day tel _____________________
Email address _____________________________________________________________________
The PLG is very pleased to acknowledge donors' names in its programmes, without stating the donation.
If you prefer not to be listed, please mark here ___
EXTRA VALUE
If currently you pay UK income tax, your donation can at no extra cost to you contribute an extra 28%
to the PLG. Just complete below the brief GIFT AID DECLARATION.
The PLG as a registered charity then can reclaim the tax applicable to your donation.
GIFT AID DECLARATION
I want the Park Lane Group Ltd Registered Charity No 252205 to reclaim the tax on my donations from
this date onwards. I confirm that I am a UK tax payer.
SIGNED ______________________________________________ Date ________________20____
STANDING ORDER
Please send to Park Lane Group, PO Box 56260, London N4 9AG
Please complete including the name, sort code, address of your bank/building society:
To the Manager ______________________ Bank/Building Society Sort Code _____-
Address __________________________________________________________________________
______________________________________________________ Postcode ___________________
From my A/c No. ___________________________, please pay now and annually from
*1 January 2010/*1 July 2010
until cancelled by me to the Park Lane Group, A/c No 10708208 Sort Code 20-
at Barclays Bank plc, Stanhope House, 46 Park Lane, London W1A 4EE
the sum of (figures) £___________ (words) ________________________________________________
This Standing Order cancels any previous Standing Order in favour of the Park Lane Group.
Usual Signature _________________________________________ Date ________________20____