Instruction to your bank or building society to pay COVE Direct Debits. IS  How we will thank you D

Details of your bank or building society branch. W

By joining the Friends of the Wordsworth Trust, you will be entitled H Name of Bank to the following privileges: O T   Address Free Entry D O Unlimited free entry to and the Wordsworth S W Postcode Museum, including access to all our special exhibitions. Name of account holder(s) Free Parking / Three hours’ free parking in Dove Cottage car park. Become a Friend Bank or building society account no. Newsletter ‘O Friend! O Poet! Brother of my soul’ Branch sort code: / / A quarterly newsletter, regular email bulletins (optional) and our annual review, to keep you up to date with what’s going on at Dove

Originator’s Identification Number: 415306 Cottage. The Wordsworth Trust reference number: (for office use only) Events Invitations to four exclusive Friends’ events every year, including Please pay the Wordsworth Trust direct debits from the details on this instruction subject to the safeguards assured by the Direct Debit guarantee. I understand that Private Views and the chance to look ‘behind-the scenes’ at the this instruction may remain with the Wordsworth Trust and, if so, details will be work that goes on to preserve the Collection. passed electronically to my bank/building society. Early Booking Signature(s) Advance information about our regular events programmes, two weeks before it is made publicly available, giving you an early chance to book places at events. Date / / Your Role In addition to the privileges you will receive as a Friend, through Banks and building societies may not accept direct debits for some types of account. your subscription you will make your own personal contribution to the preservation and continuing development of one of the world’s Direct Debit Guarantee most important literary sites. 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 the Wordsworth Trust will notify you six months in advance of your account being debited or as otherwise agreed. If you ask the Wordsworth Trust 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 the Choosing to gift aid your subscription increases the value of your donation Wordsworth Trust or your bank or building society, you are entitled to a full and im- by 25%. This is a substantial extra gift to the Wordsworth Trust, at no extra mediate refund of the amount paid from your bank or building society. If you receive cost to you. By ticking the box overleaf, you are confirming that you are a refund that you are not entitled to, you must pay it back when the Wordsworth a UK taxpayer and that you understand that if you pay less income tax Trust asks you to. You can cancel a Direct Debit at any time by simply contacting your and / or capital gains tax than the amount claimed on all your donations bank or building society. Written confirmation may be required. Please also notify us. in that tax year, it is your responsibility to pay any difference. You are also confirming that you understand that the Wordsworth Trust needs to hold your current address in order to claim gift aid on your donation. Your privacy Please notify us if you change your name or home address, cease to pay We will only use your personal details to manage your donations and provide you sufficient tax on your income and / or capital gains, or want to cancel this with the benefits of being a Friend. You can find out how we look after and use declaration. your personal information by reading our Privacy Notice. This is available on our website, or you can ask us for a copy. www.wordsworth.org.uk Sharing inspiration from the past, for the future I would like to subscribe to the Friends of the Wordsworth Trust at the What we do following annual rate £25 Individual Membership • Through our exhibitions, publications, research and a year-round programme of events, we keep £40 Joint Membership (2 adults with the same address) Wordsworth’s memory alive. £45 Family Membership (1 or 2 adults and any number of children under 16, living at the same address) Thousands of children every year benefit from our • £10 Young Person Membership (under 26) activities for schools and families. I would like to make an additional donation of: £ • We are active in care homes, day centres and other The total payment is: £ community settings across and beyond, bringing Wordsworth into the lives of people of all Method of Payment ages and backgrounds. Cheque payable to ‘Dove Cottage Promotions’ Credit/Debit Card

By looking after Dove Cottage and the rest of the Credit/Debit Card Details • I authorise you to charge the sum of: £ conservation area, we preserve Town End, as ‘the loveliest spot that man hath ever found’. Card Number Expiry M M - Y Y Issue Number (Switch only) By joining the Friends, you will help to fulfil Wordsworth’s wish, that his poetry will ‘live and do Security code (last three digits on signature strip) good. I would like to pay by Direct Debit (please complete the form overleaf, and extend the first year of your subscription by an extra three months). I want the Wordsworth Trust to treat all subscriptions and donations I make, until I notify you otherwise, as Gift Aid donations (please see over). How you can help Signed Date / / The Wordsworth Trust Your support will help to: Name • preserve and enhance Dove Cottage, the Collection Address For over 125 years, the Wordsworth Trust has provided a and the historic environment of Town End for future Tel. Email living memorial to the life and poetry of generations and his contemporaries, and a context for understanding and Additional details for Joint and Family Membership: celebrating a major cultural moment in history. • give people of all ages the chance to fulfill their creative potential Name of partner We uniquely combine a great writer’s home and his original Name(s) of children Date(s) of birth: works. Our Collection contains over 90% of Wordsworth’s • bring Wordsworth’s life-enhancing poetry to as surviving manuscripts, as well as original works by many of his many people as possible. Keeping in touch contemporaries, and is the driving force behind all our activities. Please tell us how you would like us to keep in touch with you. You can change your As a registered charity (1066184), we greatly rely on the To join, complete the form opposite and return to: preferences at any time. Opting to receive information from us by email saves us generosity of our supporters. Joining the Friends of the postage and ensures that more of your donations directly support our charitable work. The Development Office, The Wordsworth Trust, Wordsworth Trust gives you the opportunity to play a vital role I would like to receive the quarterly newsletter, annual review and other updates Dove Cottage, Grasmere, Cumbria, LA22 9SH. in our future. by email by post. Set up a direct debit and extend the first year of your It can be helpful to resolve queries about your donation or events bookings by subscription by an extra three months, free. ’phone. Please let us know if you are happy to be contacted in this way. Please see overleaf for information about how we respect your privacy.