2007/08 52nd Season
PLG Langham House 308 Regent Street
London W1B 3AT
tel: 020 7255 1025 email: [email protected]
*iiI/We wish to encourage the activities of
the PLG with the suggested donation
(see below +) £______
and, in further support,
an additional amount £______
Total £______
+ Suggested donations
Friend £25, Senior Friend £15,
Joint Friends £40, Joint Senior Friends £24, Student Friend £15
Please complete the Standing Order below or send a cheque.
CAPITALS PLEASE
Title _____ Name ________________________________
Address __________________________________________
__________________________________________________
Postcode ___________________ Tel ___________________
The PLG is very pleased to acknowledge donors' names in
its programmes, without the donation.
If you prefer not to be listed, please mark here __
EXTRA VALUE
If currently you pay UK income tax, your donation can contribute
an extra 28% to the PLG at no extra cost to you. You only have
to also complete the brief GIFT AID DECLARATION below.
The PLG then can reclaim the tax paid.
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_ ___________
STANDING ORDER
Please send to Park Lane Group, Langham House,
308 Regent Street, London W1B 3AT
Include the name, sort code, address of your bank/building society
To the Manager ________________Bank/Building Society
Sort Code ___ -
Your Bank’s Address_________________________________
________________________ Postcode __________________
From my A/c No. ______________, please pay now and annually
from *1 January 2007/*1 July 2007* until cancelled by me
to the Park Lane Group, A/c No 10208708, Sort Code 20-
at Barclays Bank plc, 46 Park Lane, London W1K 1PW
the sum of (figures) £___ (words)_________________________
Usual Signature ___________________ Date ______________
The PLG Friends Form