Take your seat AWS

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Take your seat Please complete the following form and return to: Development Office, Sadler’s Wells, Rosebery Avenue, Islington, London EC1R 4TN. Please note that all contact details are compulsory in case we need to get in contact with you. If you require any further information, please do refer to the FAQ page on the website. If this does not answer your question, then do not hesitate to contact the Development office at the above address, [email protected] or 020 7863 8133. Title …...... Name .………………………………………………………………………………….. Address.………………………………………………………………………………. ………………………………………………………………………………………….. Postcode………………………… Telephone……………………………………….. Email……………………………………………………………………… What is your preferred form of contact when sending through Take your Seat confirmation? Please choose one:

☐ Email

☐ Letter

☐ Please tick here if you would like to receive information on becoming a member, a patron or legacy giving at Sadler’s Wells. Where would you like to take your seat? Please note, we need one form per seat: if you would like to purchase more than one seat, please fill in a separate form and send together. ☐ Stalls Front (Rows A-K)

£1000

☐ Stalls Middle (Rows L-S)

£700

☐ Stalls Rear (Rows T & U)

£500

☐ First Circle Front (Rows A-G)

£1000

☐ First Circle Middle (Rows H-K)

£700

☐ First Circle Rear (Rows L-M)

£500

☐ Second Circle Front (Rows A-L)

£300

☐ Second Circle Rear (Rows M-Q)

£200

If you have a seat preference, please write it here. If you are not committed to one definite seat number please leave blank and we will assign one for you *

______________________________ *Please refer to the seating plan on the Seat Appeal webpage to see which seats are free

Gift Aid Using Gift Aid means that for every pound you give, we get an extra 25 pence from HM Revenue & Customs, helping your donation go further. This means that £10 can be turned into £12.50 just so long as donations are made through Gift Aid. It makes a real difference and it doesn’t cost you a thing. You must be a UK resident and pay tax.

If you want to add gift aid to your donation and are eligible to do so, please fill in the gift aid declaration form below.

Your plaque text The image below displays the maximum amount of text per plaque (102 characters including spaces )

Please print in block capitals exactly how you would like your text to appear on the plaque …………………………………………………………………………………………………………… …………………………………………………………………………………………………………… …………………………………………………………………………………………………………… …………………………………………………………………………. (102 including spaces max) N.B. On the final plaque, sentence case will be used. Payment  (Cheques to be made payable to Sadler’s Wells Trust Ltd)

I would like to pay by cheque

I would like to pay by Bank Transfer



Account no: 07304609, Sort Code: 18-00-02 Coutts & Co, 440 The Strand LONDON WC2R 0QS IBAN GB92COUT18000207304609 SWIFT COUTGB22 

I would like to pay by card  Visa

 MasterCard

 Switch

Card number:     Expiry Date 

Issue No. (Switch Only) 

 American Express N.B. We will contact you at your convenience to obtain your security number so we may process payment.

Name of card holder as it appears on the card: ………………………………………………………………………………… Card Holder’s Signature………………………………………………………………………

Thank you. We will shortly be in touch regarding your plaque.

Gift Aid Declaration

Sadler’s Wells Trust Ltd. - Registered Charity 279884 Using Gift Aid means that for every pound you give, we get an extra 25 pence from HM Revenue & Customs, helping your donation go further. This means that £10 can be turned into £12.50 just so long as donations are made through Gift Aid. It makes a real difference and it doesn’t cost you a thing.

DECLARATION

I …………………………………….. [name] would like Sadler’s Wells Trust Ltd. to treat the enclosed donation of £ …………………………………….

and all further donations I may make to Sadler’s Wells Trust Ltd. as Gift Aid donations

Address ……………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………

Telephone …………………………………………………………………………………………………..

Email ………………………………………………………………………………………………………... I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that Sadler’s Wells and all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I give after 6 April 2008. Signature ……………………………………………………………………………………………………. Date …………………………………………………………………………………………………………..

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DEVELOPMENT DEPARTMENT

If you have any questions, please contact the Development Department via [email protected] 020 7863 8133