booking form - International Musicians Seminar

Sir András Schiff – Schubert Lecture
Wednesday 18 March 2015, 7pm
22 Mansfield Street, London W1G 9NR
Tickets are priced at £250 per person
(£25 ticket price, plus £225 suggested donation*)
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Please reserve me ……. ticket/s for the above event.

I would like to sponsor ……. student ticket/s for the above event.
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I cannot attend the event, but would like to make a donation of £ ________
 Payment:
 I enclose a cheque for £ ________
Please make cheques payable to International Musicians Seminar.
 I will transfer £ ________ by BACS to:
CAF Bank Ltd, Account Name: AMSCORDI Ltd, International Musicians Seminar.
Account Number: 00023440 / Sort Code: 40-52-40
 I will pay by credit card via www.i-m-s.org.uk/payments
(please note that a 3% transaction fee will be added to your payment)
Name:
Address:
Tel:
Email:
* Gift Aid
If you are a UK tax payer and we do not already hold a Gift Aid declaration for you, we
would be very grateful if you could complete the declaration overleaf. Thank you.
Registered Charity Number: 270204
Please return booking form, payment and Gift Aid form (if applicable) to:
Rosie Yeatman, IMS Prussia Cove, 117 Waterloo Road, London SE1 8UL
International Musicians Seminar Prussia Cove
117 Waterloo Road, London SE1 8UL
020 7921 0064 | admin@i-m-s.org.uk | www.i-m-s.org.uk
Registered Charity No. 270204
Gift Aid declaration
Please treat as Gift Aid donations all qualifying gifts of money
 made today
 in the past 4 years
 in the future
Please tick all boxes you wish to apply.
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 the charity will reclaim 28p of tax on every £1 that I gave up to 5 April 2008 and
will reclaim 25p of tax on every £1 that I give on or after 6 April 2008.
Title:……... First name or initial(s): ………………………………………………………..…
Surname:……………………………………………………………………………………..…
Full home address:……………………………………………………………………….…..…
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Postcode:………………………………………………………………………………………..
Date: ……………………………………………………………………………………………
Signature:……………………………………………………………………………………….
Please notify IMS Prussia Cove if you:
 Want to cancel this declaration
 Change your name or home address
 No longer pay sufficient tax on your income and/or capital gains.