PYM Friends: Subscription Payment Gateway

Form Sender

Form Sender Email

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Becoming a regular Friend of Purbeck Youth Music gives us the security of regular support, allowing us to plan ahead and make better decisions with less risk. You’ll be kept fully informed of progress, and invited as a VIP to all workshops and concerts open to the public.

We suggest a minimum regular contribution of £5 per month, or £60 per year, but you are of course free to donate more if you can.

Please complete the form below to keep us informed. You can opt to set up a Standing Order with your bank, or a subscription by card, whichever suits you.

From all at PYM, thank you.

Your Name*

First NameLast Name

Email*

you@example.com

Phone Number

We will not call you unless absolutely necessary

Please select to set up:*

Card (Subscription)Card (Single Donation)Bank Standing Order, cheque or single BACS transfer

Are you able to 'Gift Aid' your donation?*

YesNo, I'm not eligible

Thank you. We need just a bit more information to process your Gift Aid declaration:

Title

Mr / Mrs / Dr etc

House Name or Number

Postcode

Intended donation amount

(please remember this amount later when you process your BACS transfer)

BACS / Standing Order

You will need to contact your bank to make arrangements to credit the PYM account. Click 'proceed' below for more information.

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 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 PYM will reclaim 25p of tax on every £1 that I give.

As I have selected 'yes' above, I declare my wish to Gift Aid my donation today and any donations I make in the future or have made in the past 4 years to Purbeck Youth Music.

Please indicate:

I would like my donation to remain anonymous.

Date

£:p

tbc (manual entry once received)