Application form

Application form I would like to support the Charterhouse during the coming year by joining the: (please tick one) Supporters Associates Circle I would like to make an additional donation of £ towards the work of the charity.

Donor details Title

First Name Surname

Address

Postcode

E-mail address Telephone number

Friends of the Charterhouse will be acknowledged in relevant literature and online. Please state how you would like to be acknowledged, eg Mr and Mrs H Smith

If you would prefer your support to be anonymous, please tick here.

Payment Details Contact the Charterhouse Please read ‘Making the most of your support’ in our brochure before completing this section, particularly if you wish to pay using a CAF cheque or via a charitable trust or foundation, or if you are a US taxpayer.

I wish to pay (tick one) By cheque, payable to ‘Sutton’s Hospital in Charterhouse’ By Credit/Debit card (Mastercard/Visa/Delta/Maestro) By Direct Debit Credit/Debit card payments the Charterhouse Please charge £ to my credit/debit card The Development Office, The Charterhouse, , London EC1M 6AN Card Number Start Date Expiry Date 020 7336 7520 Security Code Issue No (Maestro) [email protected] Become a Friend of Signature Date

Registered charity no. 207773 VAT registration no. 108 2430 48 the Charterhouse INSTRUCTION TO YOUR BANK/BUILDING SOCIETY TO PAY BY DIRECT DEBIT

The Friends of the Charterhouse Membership Benefits Making the most of your support Please fill in the whole form using a ball point pen and send it to: Sutton’s Hospital in Charterhouse The story of the Charterhouse is the story of our nation. Until recently, this story has Supporters (£60) Gift Aid regulations require us to declare the commercial value of the benefits we offer Charterhouse Square been largely unknown and now we are embarking on a new chapter by opening the gates our Friends. Part of your payment will be treated as a subscription for the provision London EC1M 6AN of the Charterhouse to visitors and, at this auspicious time for the charity, I am inviting Priority notice of public events, including the annual Thomas Sutton lecture of membership goods and services, with the excess treated as a donation to the you to become a friend. Donor newsletter Charterhouse. Name(s) of account holder(s) Service user number Free tour for you and a guest 4 4 4 9 3 6 Over its long history the Charterhouse has witnessed many of the events that have Level Total Subscription Suggested Donation shaped our nation. It began as the largest Carthusian monastery in Europe but with the 10% discount in the Charterhouse shop, once the museum opens Reference dissolution under Henry VIII the Charterhouse became a private mansion. Supporters £60 £60 Bank/building society account number convened the Privy Council in the Great Chamber at the beginning of her reign when it Associates (£600) Associates £600 £100 inc. VAT £500 was owned by the fourth Duke of Norfolk. James I followed her example by staying at the All the above, plus Instruction to your bank or building society Charterhouse before his coronation. And it was in 1611 that Thomas Sutton established Thomas Sutton Circle £5,000 £500 inc. VAT £4,500 Branch sort code Please pay Sutton’s Hospital in Charterhouse Direct Debits from the his charity which has lived here since that time. Invitations to private views and special tours account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with Sutton’s Hospital in Charterhouse and, if so, details Priority booking for the Charterhouse lecture programme will be passed electronically to my bank/building society. Sutton’s will provided for up to 80 Brothers: ‘either decrepit or old captaynes either Gift Aid at sea or at land, maimed or disabled soldiers, merchants fallen on hard times, those Biannual Brothers’ newsletter, written by the Brothers of the Charterhouse Name and full postal address of your bank or building society ruined by shipwreck of other calamity’ as well as to provide for If you are a UK taxpayer, for every £1 you donate we can claim 25p in addition from HM To: The Manager Bank/building society Invitation to the Christmas drinks reception and carol concert Revenue and Customs at no extra cost to you. If you are a higher rate taxpayer, you can impoverished boys. James I retained his connection with the Charterhouse, becoming the Address Signature(s) first Royal Governor of Thomas Sutton’s foundation. Crediting on the website and in the annual review claim higher rate tax relief through your self-assessment return. Please sign the Gift Aid section of the application form and help us to make the most of your donation. Crediting on the donor boards in reception (after 2 years) Postcode Date Since then, the Charterhouse story has continued. Cromwell, Wellington and Gladstone have all been Governors. The Charterhouse appears in the writings of Daniel Defoe, American donors Thomas Sutton Circle (£5,000) Gift Aid Declaration Charles Dickens and William Makepeace Thackeray. Indeed, Thackeray, Robert Baden- If you are an American taxpayer please contact the Development Office for information All the above, plus Powell and John Wesley attended school here. When the school moved to in about how to make your donation. I am eligible as a UK taxpayer and consent to the Charterhouse claiming Gift Aid on all donations until I notify you otherwise. 1872, the Brothers remained at the Charterhouse in . Preferential booking for holding a drinks reception or dinner in the Great Chamber Charities Aid Foundation (CAF), Charitable Trust or Foundation payments Signature Date The Charterhouse story lives on. Large parts of the buildings were damaged in the Blitz. Invitation to the summer garden party CAF payments, or payments from your charitable trust or foundation, can only be Yet it was faithfully restored and nowadays, more than 40 Brothers make their home Invitation to the opening of the museum accepted for your donation, and not for the subscription part of the payment. If you I am not eligible as a UK taxpayer here. The Charterhouse still has Royal Governors who, alongside the 16 other Governors, wish to pay from a CAF, charitable trust or foundation account, you will need to send a You must pay an amount of UK income tax and/or capital gains tax at least equal to the tax that the guide our development well into the future. personal cheque for your subscription and a charitable cheque for the balance. Please Charterhouse reclaims on your donations in the tax year. If in future your circumstances change and you contact the Development Office for further information. are no longer a UK taxpayer you should cancel your declaration. Please notify us in writing if you change Live our History for yourself your name or address, or if you wish to cancel or amend your declaration at any time. The Charterhouse is a registered charity (no. 207773), officially known as Sutton’s We hope that you will become a Friend of the Charterhouse. To find out more you can Hospital in Charterhouse. To enable us to make the most of your support all payments, email our Development Director Dominic Tickell ([email protected]) or This guarantee should be detached and retained by the payer particularly those by cheque, must be made payable to Sutton’s Hospital in Charterhouse. call him on 020 7253 9503 ext. 5). I look forward to welcoming you to the Charterhouse. THE DIRECT DEBIT GUARANTEE This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits If there are any changes to the amount, date or frequency of your Direct Debit Sutton’s Hospital in Charterhouse will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request Sutton’s Hospital in Charterhouse to collect a payment, confirmation of the amount and date will be given to you at the time of the request. If an error is made in the payment of your Direct Debit, by Sutton’s Hospital in Charterhouse or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society – If you receive a refund you are not entitled to, you must pay it back when Sutton’s Hospital in Charterhouse asks you to Beatrice Hollond, Chairman of the Friends of the Charterhouse You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.