Becoming a Life Patron of Adderbury Library

LIFE PATRON APPLICATION FORM

I/we wish to become a Life Patron of FOCAL at a cost of:-

£1,000.00 as a one-off payment per person or couple

 

NAME(S)
ADDRESS  

 

TELEPHONE
EMAIL

 

Payment Options

– I enclose a cheque for £1,000.00 made payable to Adderbury Library Action Committee

Please treat as a Gift Aid donation (from taxed income)

Tick the box if you wish to do this

Confidentiality:

I/we wish/do not wish my/our name(s) to be entered on the Patron’s Roll in the library *

*Please delete as appropriate

 

Signature:

 

  Date:  

 

Financing policy:

Focal is very grateful for your generous decision to take out a Lifetime Patron Membership. We are conscious of the need to maintain a long-term and viable future for our library and our policy for lifetime patron membership is to amortise your one-off payment over ten years.

In other words, your membership subscription will be credited to our income account at the rate of £100 pa.