ArtsKeele
Music
Keele Concerts Society
Membership/Patron
Application and Donations
Name (s) (Including first names in full)
Name 1__________________________________________________________________________
Name 2__________________________________________________________________________
Type Price
GOLD ANY5
No Required
Type Price
No Required
£90_______________ Student £25______________
£60_______________ Patron £50______________
Donate
We welcome any additional donation towards our work. 100% of your donation will go towards
future programmes or educational/outreach projects developed by ArtsKeele.
Donation
£_____________________
Cheque Payments
I enclose a cheque for £_________________________________ (Made payable to Keele University)
Address__________________________________________________________________________
________________________________________________________________________________
Postcode_________________________________________________________________________
Telephone________________________________________________________________________
Email____________________________________________________________________________
Membership/Patron Application and Donations
¨ I am a UK taxpayer* and would like ArtsKeele to reclaim tax on this membership/donation and any donations
I make in the future. *To qualify for Gift Aid you must pay income tax or capital gains tax at least equal to the
amount ArtsKeele reclaims on your donations in the tax year – currently 25p for every £1 you give.
Return by post
Box Office, University Reception, Chancellor’s Building, Keele University, Keele, Staffordshire ST5 5BG
Online and card payments
You can purchase our subscription packages online by visiting keele.ac.uk/artskeele
or If you wish to pay by card please contact the Box Office on 01782 734340.
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