Method of payment
HAVE YOU THOUGHT ABOUT PAYING BY DIRECT DEBIT? q Associate q Joint Associate Direct Debit is a simple form of automatic annual q Gift Associate q Gift Joint Associate renewal and helps us to reduce administration costs and give much needed sustainable support to the Enclosed is my payment for the amount of: Gallery. If you would like to pay by Direct Debit, please fill in the form below. Associate Membership(s) £ TO THE MANAGER Other Amoun t/Additional Donation £ Total £ Bank/Building Society Bank/Building Society Postal Address q Direct Debit (see right ) q Cheque (payable to National Portrait Gallery ) q Credit or Debit Card (Vis a/Mastercar d/Amex /Maestro )
Card Holder’s Name Postcode
Contact Telephone Name of Account Holder Card No. Account No. Valid From Expiry Date Issue No. [ ] Sort Cod e xxxxxx –– Security Code [ ] last 3 digits on reverse of card
Signature FOR OFFICE USE ONLY
HELP US TO CLAIM GIFT AID ON ORIGINATOR’S IDENTIFICATION NUMBER 763555 YOUR ASSOCIATE MEMBERSHIP Reference Number AT NO EXTRA COST TO YOU q I am a UK taxpayer and I would like the National Portrait Gallery to treat all donations I have made for the last six years prior to the Instructions to your Bank or Building Society year of this declaration (but no earlier than 6/4/2002) and all Please pay the National Portrait Gallery by Direct Debit donations I make from the date of this declaration as Gift Aid from the account detailed in this instruction subject to donations, until I notify you otherwise. the safeguards assured by the Direct Debit Guarantee. For the National Portrait Gallery to claim Gift Aid you must pay an amount of UK income tax or capital gains tax equal to the I understand that this instruction may remain with the tax we reclaim on your donations in the current tax year. We can National Portrait Gallery, and, if so, the details will be reclaim up to 25p per £1 on top of your donation passed electronically to my Bank/Building Society . Please notify us if you change your name, address or tax status
Signature Date
Direct Debit Guarantee • If an error is made in the payment of your Direct Debit, by the • This guarantee is offered by all banks and building societies that National Portrait Gallery or your bank or building society, you are accept instructions to pay Direct Debits. entitled to a full and immediate refund of the amount paid from • If there are any changes to the amount, date or frequency of your Direct your bank or building Society. Debit the National Portrait Gallery will notify you at least 15 working days – If you receive a refund you are not entitled to, you must pay it back in advance of your account being debited or as otherwise agreed. If you when the National Portrait Gallery asks you to. request the National Portrait Gallery to collect a payment, confirmation of • You can cancel a Direct Debit at any time by simply contacting your bank or the amount and date will be given to you at the time of the request. building society. Written confirmation may be required. Please also notify us. COVER IMAGE Dame Judi Dench by Alessandro Raho, 2004 Commissioned by the Trustees of the National Portrait Gallery and made possible by JPMorgan through the Fund for New Commissions
ABOVE Virginia Woolf by George Beresford, 1902 All images © National Portrait Gallery, London, unless stated
National Portrait Gallery Associates St Martin’s Place London WC2H 0HE
Stacey Ogg, Individual Giving Manager [email protected] 020 7321 6644 BT Type Talk 18001 Associates The National Portrait Gallery Support from individuals is holds the world’s largest and vital to the Gallery. It helps most comprehensive us to present critically praised collection of portraits, exhibitions, a range of offering an inspiring journey changing displays and through British history. The educational projects, and Gallery’s Collection charts allows us to develop our the lives and achievements Collection for the future. of Britain’s most influential It enables us to commission and famous figures. new works and purchase portraits like the recent Situated in the heart of photographs acquired of London, the Gallery is the Joan Armatrading, George perfect place to enjoy an Best, Julia Margaret Cameron, unparalleled collection of Charlotte Church, Orla Keily, portraits, in a stylish and Nelson Mandela, Emily stimulating setting. Late Mortimer, Daniel Radcliffe opening on Thursday and and Simon Schama ensuring Friday evenings enables you that the Gallery reflects to enjoy the Gallery after the history makers of today hours with the acclaimed and tomorrow. Portrait Restaurant offering the ideal location for a drink or dinner.
The Gallery ‘illuminates the past. Portraits do LEFT Jean Shrimpton not just record, by David Bailey © David Bailey but define how
RIGHT FROM TOP and even who Self-portrait we remember.’ by Sam Taylor-Wood, 2001 In praise of the National Portrait Gallery © Sam Taylor-Wood The Guardian
View from the Portrait Restaurant taking in Nelson ’s Column, Big Ben and the Houses of Parliament Photo: Dennis Gilbert © Dennis Gilbert Associates enjoy a close • Free entry to all National relationship with the Gallery Portrait Gallery ticketed and offer us much needed exhibitions with a guest financial support, whilst also having the opportunity to • 10% discount in the engage with the National Portrait Restaurant, with its Portrait Gallery in the stunning views over London, following inspiring ways: the Portrait Café and the Gallery’s book and gift shops • Private View Parties Invitations for you and a • Mailings of Face to Face guest to attend the Gallery ’s the Gallery ’s newsletter Private Views and various as well as the quarterly special occasions What’s On guide
• Annual Associates • Designated project Evening Invitations for you support Associates will and a guest to attend a support a project and the special drinks and canapé emphasis will be on helping reception, followed by a to acquire photographs chance to explore the for the Collection Collection exclusively • Our thanks To thank after hours our Associates for their • Annual Associates much needed support, Breakfast in the Portrait we acknowledge our Restaurant followed by a appreciation in various tour of the Gallery or a publications including the temporary exhibition with Gallery’s Annual Review the curator before we are open to the public If you would like information on our Patron’s group and
• Events Opportunities to the additional benefits you ABOVE FROM TOP attend all Members’ events can enjoy at this level, please Emma, Lady Hamilton contact the Individual Giving by George Romney, c.1785 • Catalogues Your choice of a Manager: 020 7312 2444 Sir Paul Smith complimentary catalogue will by James Lloyd, 1998 be sent to you, keeping you David Beckham informed of our activities by Sam Taylor-Wood, 2004 © Sam Taylor-Wood Commissioned by the Trustees of the National Portrait Gallery and made possible by JPMorgan through the Fund for New Commissions Associates Application Gift Associates Application
I would like to join as an: I would like to give a gift of: q ASSOCIAT E * (£275 per annum) q ASSOCIAT E membership q JOINT ASSOCIAT E ** (£500 per annum) q JOINT ASSOCIAT E membership q OTHER AMOUNT /ADDITIONAL DONATION
Personal details please print your details in block capitals Gift to please print details in block capitals
First Name First Name
Surname Surname
Joint Associate’s Name Joint Associate’s Name (if applicable ) (if applicable )
Address Address
Postcode Postcode
Contact Telephone Date membership should arrive
Associate level of donation *The £275 donation includes a subscription of £90 for Please deliver Gift Associates membership: benefits and a voluntary donation of £175 (tax deductible). q To recipient q To me Joint Associate level of donation Two named cards at the same address. Private View Gift from Invitations for both Associates and two guests. **The £500 donation includes a subscription of £145 for Please fill in your details so we can personalise the letter benefits and a voluntary donation of £355 (tax deductible). we send with the Associates’ card
US tax payers First Name If you are a US tax payer who wishes to pay their Associate donation in dollars through the American Friends of the Surname National Portrait Gallery, a tax exempt organisation under section 501(c) (3), please contact us for more information. Address
Please return this application form along Postcode with the payment (see overleaf) to : Individual Giving Manager National Portrait Gallery Special message for Gift Card (max. 20 words ) St Martin’s Place, London WC2H 0HE or hand it in at the Information Desk in the Main Hall of the Gallery
Data Protection The National Portrait Gallery is committed to protecting your privacy. All personal data given on this form will be held securely. It will be used to administer your Associate Membership application and thereafter to provide you with information about events, benefits, services and special offers available to donors. It will not be passed on to any third parties.
03 / 2011