ESM Gift Aid Form

As a registered charity, East Sussex Music (part of Brighton Dome and Brighton Festival) is able to benefit from Gift Aid on membership subscriptions for music centre activities. Gift Aid provides vital additional funds for charities, and it costs you nothing extra to allow ESM to claim it. If you are a UK taxpayer you could increase the value of your subscription at no cost to you. By agreeing to Gift Aid we can claim 25p for every £1 of the membership cost/fee from HM Revenue and Customs.

All of the tax relief from Gift Aid will go directly back into East Sussex Music to provide even more music-making opportunities for young musicians in the city.

Name

Address

Contact Number

Date

Please treat as Gift Aid donations all qualifying subscriptions I have ever made or will make to East Sussex Music / BDBF until further notice

I agree

I am a UK taxpayer and I can 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 East Sussex Music / BDBF 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 that ESM / BDBF will reclaim 25p of tax on every £1 that I give.

I agree

Please notify East Sussex Music / BDBF 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.

In accordance with the 1998 Data Protection Act, ESM / BDBF will hold your details for administrative purposes and to provide you with updates about our work and how you are helping us change lives through music.