Sir András Schiff – Schubert Lecture Wednesday 18 March 2015, 7pm 22 Mansfield Street, London W1G 9NR Tickets are priced at £250 per person (£25 ticket price, plus £225 suggested donation*)  Please reserve me ……. ticket/s for the above event.  I would like to sponsor ……. student ticket/s for the above event.  I cannot attend the event, but would like to make a donation of £ ________  Payment:  I enclose a cheque for £ ________ Please make cheques payable to International Musicians Seminar.  I will transfer £ ________ by BACS to: CAF Bank Ltd, Account Name: AMSCORDI Ltd, International Musicians Seminar. Account Number: 00023440 / Sort Code: 40-52-40  I will pay by credit card via www.i-m-s.org.uk/payments (please note that a 3% transaction fee will be added to your payment) Name: Address: Tel: Email: * Gift Aid If you are a UK tax payer and we do not already hold a Gift Aid declaration for you, we would be very grateful if you could complete the declaration overleaf. Thank you. Registered Charity Number: 270204 Please return booking form, payment and Gift Aid form (if applicable) to: Rosie Yeatman, IMS Prussia Cove, 117 Waterloo Road, London SE1 8UL International Musicians Seminar Prussia Cove 117 Waterloo Road, London SE1 8UL 020 7921 0064 | [email protected] | www.i-m-s.org.uk Registered Charity No. 270204 Gift Aid declaration Please treat as Gift Aid donations all qualifying gifts of money  made today  in the past 4 years  in the future Please tick all boxes you wish to apply. I 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 all the charities or Community Amateur Sports Clubs (CASCs) that I donate to 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 the charity will reclaim 28p of tax on every £1 that I gave up to 5 April 2008 and will reclaim 25p of tax on every £1 that I give on or after 6 April 2008. Title:……... First name or initial(s): ………………………………………………………..… Surname:……………………………………………………………………………………..… Full home address:……………………………………………………………………….…..… …………………………………………………………………………………………………. …………………………………………………………………………………………………. Postcode:……………………………………………………………………………………….. Date: …………………………………………………………………………………………… Signature:………………………………………………………………………………………. Please notify IMS Prussia Cove 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.