Gift Sadler's Wells Rehearsal Membership Form When signed and ...
Gift Sadler’s Wells Rehearsal Membership Form When signed and complete, please return to: Development Office Sadler’s Wells Rosebery Avenue EC1R 4TN I would like to purchase a Rehearsal Membership as a gift at £120 (£108 Direct Debit)
Purchaser Name.………………………………………………………………………………………. Address.………………………………………………………………………………………………… ……………………………………………………………………………………………………………. ………………………………………………………………Postcode………………………..………. Telephone…………………………………… Email ………………………………………………… Gift Recipient Name.………………………………………………………………………………….. Address.………………………………………………………………………………………………… ……………………………………………………………………………………………………………. ………………………………………………………………Postcode………………………..………. Telephone…………………………………… Email ………………………………………………… Payment Details
I would like to pay by direct debit - £108 (Please complete direct debit mandate form overleaf – if you pay by Direct Debit you will receive a 10% discount of the price of the membership)
I would like to pay by cheque - £120 (Cheques to be made payable to Sadler’s Wells Trust Ltd)
I would like to pay by credit card - £120
Switch
American Express
Card number:
Expiry Date
Visa
MasterCard
Security Code
Issue No. (Switch Only)
Name of card holder as it appears on the card:……………………………………………………... Card Holder’s Signature………………………………………………………………………………...
Rehearsal Membership Direct Debit Form Gift Rehearsal Membership - £108
Name.……………………………………………………………………………………………………. Address.…………………………………………………………………………………………………. ……………………………………………………………………………………………………………. ………………………………………………………………Postcode………………………..……….. Telephone…………………………………… Email …………………………………………………..
Direct Debit is a simple form of automatic annual renewal and helps us to reduce administration.
I would like to pay (tick as appropriate): Monthly (12 payments)
Quarterly (4 payments)
Annually (1 payment)
Instruction to your Bank or Building Society to pay Direct Debit (please complete in full) To the manager of ………………………………………………………………………… Bank/Building Society …………………………………………………………………….. Address …………………………………………………………………………...………. Postcode ……………………………………………………………………………..…….
Originators Identification No 6 5 2 7 9 8 Reference No. (Office use only) Instruction to your Bank or Building Society to pay by Direct Debit – Please pay Sadler’s Wells Trust Ltd. Direct Debits from the account detailed in the instruction subject to safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with Sadler’s Wells Trust Ltd and, if so, details will be passed electronically to my Bank/Building Society
Name(s) of Account Holder(s) ……………………………………………………………… Sort Code …………………………………………………………………………..………. Bank/Building Society/Account No …………………………………………………………. Signature ……………………………………………………………………………………. Date …………………………………………………………………………………………. Banks and Building Societies may not accept Direct Debit instructions for some types of account
Purchaser Name.………………………………………………………………………………………. Address.………………………………………………………………………………………………… ……………………………………………………………………………………………………………. ………………………………………………………………Postcode………………………..………. Telephone…………………………………… Email ………………………………………………… Gift Recipient Name.………………………………………………………………………………….. Address.………………………………………………………………………………………………… ……………………………………………………………………………………………………………. ………………………………………………………………Postcode………………………..………. Telephone…………………………………… Email ………………………………………………… Payment Details
I would like to pay by direct debit - £108 (Please complete direct debit mandate form overleaf – if you pay by Direct Debit you will receive a 10% discount of the price of the membership)
I would like to pay by cheque - £120 (Cheques to be made payable to Sadler’s Wells Trust Ltd)
I would like to pay by credit card - £120
Switch
American Express
Card number:
Expiry Date
Visa
MasterCard
Security Code
Issue No. (Switch Only)
Name of card holder as it appears on the card:……………………………………………………... Card Holder’s Signature………………………………………………………………………………...
Rehearsal Membership Direct Debit Form Gift Rehearsal Membership - £108
Name.……………………………………………………………………………………………………. Address.…………………………………………………………………………………………………. ……………………………………………………………………………………………………………. ………………………………………………………………Postcode………………………..……….. Telephone…………………………………… Email …………………………………………………..
Direct Debit is a simple form of automatic annual renewal and helps us to reduce administration.
I would like to pay (tick as appropriate): Monthly (12 payments)
Quarterly (4 payments)
Annually (1 payment)
Instruction to your Bank or Building Society to pay Direct Debit (please complete in full) To the manager of ………………………………………………………………………… Bank/Building Society …………………………………………………………………….. Address …………………………………………………………………………...………. Postcode ……………………………………………………………………………..…….
Originators Identification No 6 5 2 7 9 8 Reference No. (Office use only) Instruction to your Bank or Building Society to pay by Direct Debit – Please pay Sadler’s Wells Trust Ltd. Direct Debits from the account detailed in the instruction subject to safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with Sadler’s Wells Trust Ltd and, if so, details will be passed electronically to my Bank/Building Society
Name(s) of Account Holder(s) ……………………………………………………………… Sort Code …………………………………………………………………………..………. Bank/Building Society/Account No …………………………………………………………. Signature ……………………………………………………………………………………. Date …………………………………………………………………………………………. Banks and Building Societies may not accept Direct Debit instructions for some types of account
