I/We wish to become a Friend / Patron / Gold Patron / Benefactor / Mozartfest Circle member of Bath Mozartfest 2004. Please tick appropriate box:
Friend: £50+ per person per annum
Patron: £250+ per person per annum
Gold Patron: £500+ per person per annum
Benefactor: £1,000+ per person per annum
Circle Member: £5,000+ per person per annum
HOW TO PAY
By Cheque: made payable to Bath Mozartfest Ltd
Or please debit my Mastercard/Visa/Switch/Maestro card
Signature ___________________________ Expiry
date: ____________
Issue No: (Switch/Maestro cards only)
________________
Security code: ______ Please print this form and send with your payment to:
Bath Festivals Box Office
2 Church Street, Abbey Green, Bath BA1 1NL
Name ___________________________________________________
Address _________________________________________________
Post Code ______________ Tel ______________________________
Email ___________________________________________________
GIFT AID
If you are a tax payer the Bath Mozartfest, as a registered charity,
can reclaim the tax that you have paid and add it
to your gift to
make every donation you send worth even more to the Festival,
at
no extra cost to you. (Please
tick boxes below if you are in agreement)
Please treat my donations as Gift Aid donations from the date of this
 declaration
until I notify you otherwise
I confirm that I currently pay an amount of income tax or capital gains
tax
at least equal to the amount to be reclaimed, and I expect this
situation
to continue
I understand
that I am under no commitment to make any further
donations
and I may cancel this declaration at any time
Data
Protection Act (please tick if you are in agreement)
I would like the information above to be stored by Bath Mozartfest,
to keep me informed of the Festival's activities.
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