Donation Form
Your support today can help us in so many ways
Your Details:
Full name(s): _______________________________________________________ Address: __________________________________________________________
By ticking the box I confirm that I am a UK tax payer and would like all my donations, past, present and future to Belgrade Theatre Trust (Coventry) Ltd to be treated as Gift Aid donations.
_________________________________________________________________ _________________________________________________________________ Postcode: __________________________________________________________ Telephone: _________________________________________________________
In support of the Community & Education Company
I confirm that I have or will have paid sufficient tax (income or capital gains) in the current tax year to cover all the tax that will be reclaimed by all the charities or CASC to which I have made Gift Aid donations. I understand that other taxes, such as council tax and VAT do not qualify. I understand the Belgrade Theatre 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.
To help make the Belgrade accessible
Please notify the Belgrade Theatre if you:
Email: _____________________________________________________________ I would like to make a donation of £______ per month/as a one-off gift* (Please delete) How I would like my gift to be used Please use my gift in the way that the Belgrade most needs to In support of the Belgrade producing their own drama In support of the Belgrade bringing the best touring shows to Coventry
• Want to cancel this declaration • Change your name or home address • No longer pay sufficient tax on your income and/or capital gains.
In support of the Give the Gift of Theatre Campaign If my total gift is more than £250 I would be interested in learning about how this can be acknowledged by naming a seat and being included in a piece of public art in the foyer
Payment Method:
Alternatively you can call the Development Department to make a donation over the phone on 024 7684 6758 or you can email developmentadmin@belgrade.co.uk and we’ll call you back. You can also make a donation online at www.localgiving.com/belgradetheatre
Cheque (made payable to Belgrade Theatre) Credit/Debit Card (Call 024 7684 6758 to make a payment) Standing Order (please complete form below) Donate online (please visit www.localgiving.com/belgradetheatre to make a donation online)
Standing Order Mandate: I wish to donate £____ a month through standing order for a total of __ * payments * Please leave this blank if you wish to continue making a donation of this amount to the Belgrade Theatre until you inform your bank otherwise
To the Manager of (fill in the name of your bank): ___________________________ Bank address: ________________________________________________________ Post code: __________________________________________________________ Please pay to the Belgrade Theatre Trust (Coventry) Ltd Sort Code: 56-00-45 Account No: 46376208 National Westminster Bank, 24 Broadgate, Coventry, CV1 1ZZ for the credit of the sum of £____ every month commencing ___/___/20____ (day/month/year) for a total of ___ payments.
£120 or £10 a month *
£24
or £2 a month*
£600 or £50 a month*
£60
or £5 a month*
£1200 or £100 a month*
Could build a prop for one of our own produced performances.
Can provide copies of scripts to actors rehearsing a Belgrade production. Can provide 120 education packs to schools attending a performance at the Belgrade, giving teachers a useful resource for follow up learning. Can provide a free drama workshop for young people. This will support a young person at serious risk of permanent exclusion from school to take up a place on our Acting Out programme.
£250 or £20.84 a month*
£800
or £66.67 a month *
£36
or £3 a month*
£250 or more
Will support a performance being signed or audio described for audiences with visual or hearing impairments.
Belgrade Theatre a theatre to make Coventry & Warwickshire proud
Means 100 young people could be given free access to shows at the Belgrade through our Under 26s programme. Gives 2 families facing financial hardship the chance to come to our next Pantomime through the Give the Gift of Theatre programme! You could have your name included on a piece of public art in the foyer and a seat named after you in one of our auditoria.
* Over a 12 month period
I would be interested in learning more about: The work that the Belgrade produces The work that the Belgrade brings to Coventry The Community & Education _ Company How the Belgrade is striving to be more accessible The Give the Gift of Theatre Campaign
Account no: _____________________ Sort code: _________________________ Signed: __________________________ Date: _____________________________
Please return your completed form to:
Development Department, Belgrade Theatre, Belgrade Square, Coventry CV1 1GS
Be twice as nice Thanks to the Arts Council’s Catalyst Arts programme, we can match your donation until June 2015, meaning your gift would go even further. What’s more, if you Gift Aid your support as well, a £10 donation could be worth as much as £22.50 to the Belgrade, meaning we that we can do so much more.
The Belgrade Theatre is a registered charity number 219163
Belgrade Theatre, Belgrade Square, Coventry CV1 1GS
The Belgrade Theatre Trust (Coventry) Ltd is a registered charity (No 219163), so all of the money raised and earned by the theatre is reinvested in the services it provides to the local community.