Be a PART of ART – Become an ART Pioneer Arthur Ransome Trust, 7 The Bungalows, Esh Winning, DURHAM, DH7 9PD

Standing Order Instruction (Monthly and Annual Subscriptions/Donations):

To: The Manager ________________________________Bank/Building Society Sort Code:

Address: _____________________________________________________________________________ Postcode: __________________

Please pay Arthur Ransome Trust, at CAF Bank, Sort Code 40-52-40, Account Number 00095882

The sum of: £ _________________ (figures) _______________________________(words) Monthly/Annually* (*delete as applicable)

From: (Date of first payment): _____________ until further notice/ or until ______________ (date of final payment, if any)*

From my account number: Signature: _______________________ Date: _____________

Personal Details:

Mr/Mrs/Miss/Ms/Other: _________________ Name: ____________________________________________________________________

Address: ______________________________________________________________________________ Post Code: __________________

Tel No: _____________________ Email Address: ___________________________________________

Version 1: June 2018

Thank you for your support!

How to participate by post:

Please complete the form using BLOCK CAPITALS and post it to the address above;

Single (lifetime) donations need to be accompanied by a cheque made payable to “Arthur Ransome Trust”;

DO NOT send the form straight to your bank.

Gift Aid:

Boost your donation by 25p of Gift Aid for every £1 you donate: With your permission we will reclaim Gift Aid from the tax you pay for the current tax year. To do so, we need your full home address (above) in order to identify you as a current UK taxpayer.

In order to Gift Aid your donation (and/or your past and future donations) you must tick one of these boxes:

I want to Gift Aid my donation of £__________ to:

I want to Gift Aid my donation of £__________ and any donations I make in the future or have made in the past 4 years to:

Arthur Ransome Trust (Charity No 1136565).

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.

Signature: ___________________________________ Date: ___________________

Please notify us if you: want to cancel this declaration; change your name or home address; and/or no longer pay sufficient tax on your income and/or capital gains.

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Single Payment (Lifetime Subscription/Donation) :

I enclose my cheque for £ ______________________ (cheques payable to “Arthur Ransome Trust”)

Subscription/Additional Voluntary Donation Details:

Monthly Subscription £ 3.00 per calendar month + Additional Donation £ ________ p.c.m. = £ __________ p.c.m.

Annual Subscription £ 25.00 per annum + Additional Donation £ ________ p.a. = £ __________ p.a.

Lifetime Subscription £ 500.00 + Additional Donation £ ________ = £ __________

Keeping in touch and how we’ll use your information:

Please keep in touch with me by e-mail, including sending me Artefacts, the Trust e-newsletter.

We will use your personal information in accordance with our Privacy Policy (https://arthur-ransome-trust.org.uk/resources/privacy/).

I would like to claim the following Ransome Map piece:

(Reference/Name/Value): _________ / _____________________________________________________ / £ ___________

Please show my piece as “anonymous” on the map.