SHEFFIELD BOTANICAL GARDENS

Application to Become a Supporter / Make a Gift

I wish to become a Supporter of the Sheffield Botanical Gardens

Name:

Address:




Post Code:

Telephone:

E-mail:


The minumum subscription is 15 per annum. Please complete the Standing Order Form below:

To (your own bank):

Branch:

Address:




Sort Code:


Beneficiary: The Sheffield Botanical Gardens Trust

Bank: HSBC Bank plc, 17 Church Street, Sheffield S1 1HH

Sort Code: 40-41-07 Account Number: 61628372

Amount (in words):

Amount (in figures):

Date of first payment:

Due date and frequency of payment:

Date of final payment or until further notice (UFN):

Account Number:



    Gift Aid Declaration

I wish Sheffield Botanical Gardens to treat all donations I make from the date of this declaration as Gift Aid donations until I notify otherwise in writing. I confirm that I am a UK tax payer.

Signature:
Date:

If you do not wish to receive the Newsletter and other material we may send you, please tick this box

Reference: Please insert your name in
the box for processing by the bank.
Please send the completed form to
Sheffield Botanical Gardens Trust, Clarkehouse Road, Sheffield S10 2LN.
Details will be recorded and the form sent to your bank.