Donations to London Play

A. Personal details

Title: …………………….

Forenames (in full): …………………………………. Surname: ……………………….....

Address:………………………………………………………………………………………..

…………………………………………………………………………………………………..

Postcode: ……………………………….…

If in London, which borough: ……………..…..…………...………………………………..

Please contact me by:

? Telephone/Mobile: …….………………………………………………………………….

? Email address: ……………..…..…………...……………………………………………..

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B. Donation

Please choose how you would like to support the work of London Play:

?I wish to set up a standing order as a regular gift to London Play. I have

completed the standing order form overleaf.

?I wish to make a one-off donation of ? £10 ? £25 ? £50 ? £100?£500

Other £ …………………………………..

I enclose cheque or postal order made payable to London Play. (Please do not send cash)

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C. Gift aid declaration (only open to UK tax payers)

Donations made to London Play qualify for tax relief. This means that every pound you donate is worth 25p more to us, at no extra cost to you. Please treat:

?the enclosed donation of £……………as a Gift Aid donation; OR

? all donations that I make today and in the future(until I notify you otherwise) as a Gift Aid donation

Please tick:

? I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for the current tax year (6 April to 5 April) that is at least equal to the amount of tax London Play will reclaim on my donation for the current tax year. I understand that other taxes such as VAT and Council Tax do not qualify.

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D. Please accept my donation to London Play.

Signature: ………………………….…………………. Date: ……………………..

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E. Keeping in touch

?Tick here to receive London Play’s monthly email bulletin on play in the capital.

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Please return to: London Play, Unit F3, 89-93 Fonthill Road, London N4 3JH

Please note that you can change your preferences at any time by contacting us on this address.Thank you for your donation.

Standing order form

A regular donation to London Play will help us to plan for the future. To set up a standing order, please complete this form and return it to London Play at the address below.

To increase your donation to London Play at no extra cost to yourself, please also

complete the Gift Aid declaration (C) overleaf.

We will send the original standing order form to your bank so that they can process the payments and keep a copy for our records.

Standing order instruction

To:

Bank name: …………………………………………………………………………..

Full bank address: …………………………………………………………………………..

…………………………………… Postcode: ………………………..

Please make the payments detailed below debiting my/our account until further notice. My bank details are as follows:

Sort Code: __ __ / __ __ / __ __

Account number: ______

A/c holder name(s): …………………………………………………………………………

Please pay London Play:

CAF Bank Ltd. (Sort-Code 40-52-40, account number 89950)

25 Kings Hill Avenue, Kings Hill, West Malling Kent ME19 4JQ

The amount of: £ ...... monthly / quarterly / annually*

*(delete as appropriate)

Starting on (date): __ __ / __ __ / 2 0 __ __

Signature: ……………………….…………………. Date: ……………………..

Please return to: London Play, Unit F3, 89-93 Fonthill Road, London N4 3JH

Thank you for your donation!

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TO BE COMPLETED BY LONDON PLAY

To: The Bank - please quote this donor code on all correspondence and payment.

Donor code: …………………………………………………………………………