Alexandra Palace Organ Appeal

Alexandra Palace, Wood Green, London N 22 4AY

Registered Charity No. 285222

Patrons: His Grace The Duke of Marlborough, Dr Roy Massey, Carl Jackson

Trustees: Graham Hawkes (Chair), Hugh Macpherson (Secretary), Simon Gutteridge ( Treasurer)

John Apperley, David Moores, John Pryer, Roger Tucker, Stephen Walmsley, Michael Rhodes

FORM FOR RENEWAL OF THE FRIENDS FOR 2010

Subscription renewal for your membership for 2011 is now due:-

Please complete the form below and send with your cheque to :-,

The Treasurer, Alexandra Palace Organ Appeal,

41 Vanderbilt Road, London SW18 3BG

Or alternatively hand in at the next concert with cash or cheque

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Your signature …………………………………………….. date ……………………………….

Your name (please print) …………………………………

Your address ………………………………………………………………………………………

………………………………………………… Post Code ……………………………………….

Telephone number ………………… Email address ………………………………

The minimum annual donation is £ 15 and falls due on 1^st January each year. Cheques should be made payable to “ Alexandra Palace Organ Appeal”. Donations in addition to the minimum are welcome.

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GIFT AID

If you have not already signed up for Gift Aid and would like your donation to be classed as gift aid which will enable the Alexandra Palace Organ Appeal to reclaim income tax please complete below:-

I would like the amount I have given to the Alexandra Palace Organ Appeal since April 6^th 2009, and all future donations to be treated as Gift Aid donations. I can cancel this at any time by notifying the charity.

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

Forenames ……………………………….. Surname ……………………………………

Form 3 Iss 7