Someone you know would love Kew Yes, I want to give Friends membership as a gift My gift is for: Title Payer’s details First Name Title Surname Date of birth / / Address Surname Date of birth / / Address Postcode Telephone Postcode Who do you want the membership pack sent to?* Me First Name Telephone Email My friend Please complete your email address if you are happy for us to contact you this way * If paid by Direct Debit, renewal reminder will be sent to Direct Debit payer. Friends categories (Prices are valid until 31/03/2016) Direct Debit Please tick box Card or cheque Individual Friend (one adult) £62 £72 Joint Friend (two adults from the same family living at one address) £90 £100 £69 £79 £99 £109 Individual Family Friend (one adult and up to two children) Joint Family Friend (as Joint, plus up to two children) Are you a Friend of Kew? Yes No Membership No. Your payment details: I enclose the completed Direct Debit instruction I enclose a cheque for £ Please debit my: payable to Kew Foundation Visa Maestro† Mastercard Card number † Number of additional child(ren) on Family membership (£5 per child) Expiry Date Card Security Code (last three digits on signature strip) Total amount £ Amount £ Maestro Title Valid from† Issue number† First Name Surname Date of birth / / Contact preferences We will use your details to contact you about your membership and its benefits. Kew would like to occasionally contact you about Kew events, activities, priority booking and special offers, and about how you can support Kew’s work. Tick here if you would prefer not to receive this information from Kew. Tick here to hear from other organisations carefully selected by us about their products and services which we think may interest you. Kew is the Royal Botanic Gardens, Kew, its Foundation and trading arm. You can change your contact preferences at any time. We respect the privacy of your personal data. For more details on how we use your information, see our privacy policy at www.kew.org/privacy. Cardholder’s signature X Expires end† Date / / It may take up to 28 days to deliver your membership pack. Membership may also be purchased over the phone on 020 8332 3200, if you need your gift membership sooner. Please return to: Kew Foundation, Royal Botanic Gardens, Kew, FREEPOST RTHA-CKZR-ULRB, Kew Green, Richmond, TW9 3AB The Foundation and Friends of the Royal Botanic Gardens, Kew is a registered charity no. 803428. Registered in England and Wales. Instruction to your Bank or Building Society to pay by Direct Debit Please fill in the whole form and send it to: Kew Foundation, Royal Botanic Gardens, Kew,FREEPOST RTHA-CKZR-ULRB, Kew Green, Richmond, TW9 3AB Name and full postal address of your Bank or Building Society To: The Manager Bank or Building Society Service User Number 9 3 0 8 3 6 Reference Number (For official use only) Address Postcode Name(s) of Account Holder(s) Instructions to your Bank or Building Society Please pay Foundation and Friends of the Royal Botanic Gardens, Kew Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with Foundation and Friends of the Royal Botanic Gardens, Kew and, if so, details will be passed electronically to my Bank/Building Society. Branch Sort Code Bank or Building Society account number Signature(s) Date / / BANKS AND BUILDING SOCIETIES MAY NOT ACCEPT DIRECT DEBIT INSTRUCTIONS FOR SOME TYPES OF ACCOUNTS This guarantee should be retained by the Payer – 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 Foundation and Friends of the Royal Botanic Gardens, Kew will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request Foundation and Friends of the Royal Botanic Gardens, Kew 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 Foundation and Friends of the Royal Botanic Gardens, Kew 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 Foundation and Friends of the Royal Botanic Gardens, Kew asks you to •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. 060015WDD If Joint membership, please supply details of second adult
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