STANDING ORDER INSTRUCTIONS

(Please detach completed form and return to your bank).

To: The Manager
(a) ________________________________________________
________________________________________________ www.themarkettheatre.com Charity No: 1174743
________________________________________________

Please pay to: HSBC Hereford Branch (Sort Code 40-24-11)

LADS MEMBERSHIP APPLICATION FORM (Adult)
For the credit of: Ledbury Amateur Dramatic Society Ltd. (For Junior membership, please use the Junior version of this form)
Account number: 42172925
I / We wish to join LADS as:
Quoting reference (b): ___________________________________
The sum of: MEMBER(S) / FRIEND(S)
(Please circle as appropriate)
(c) £5 (five pounds) / £10 (ten pounds) / £20 (twenty pounds)
Title: ____ Forename: ___________ Surname: ______________________
Commencing on (d) _____________________________________
and thereafter annually on 15th June each year until further notice. Title: ____ Forename: ___________ Surname: ______________________
Address: ____________________________________________________
Account Name: ________________________________________
__________________________________ Post Code: ________________
Sort Code: ____ - ____ - ____
Tel: ________________________ Mobile: _________________________
Account Number: ______________________
Email: _______________________________________________________
Signature: ________________________________________
( Signature 2: ________________________________________ ) Please note that your email address will not be shared with any other
organisation or third party – it is for LADS' use only.
Date: _______________________
Signed: _________________________________ Date: ______________
(a) Please insert the name and address of YOUR bank. Signed: _________________________________ Date: ______________
(b) Please insert YOUR NAME (so we can identify your payment)
(c) Please delete two of these three options: £5 is for a Friend, Please note that by signing this form you are agreeing for your details to be
£10 is for a Member or two Friends, held on record and shared between members of LADS.
£20 is for two Members. Your details will not be shared with any other organisation or third party.
(d) Please insert the date when you wish the first payment to be taken
(this must be within 4 weeks of applying for membership). Ledbury Amateur Dramatic Society Ltd. (LADS) is
The Market Theatre’s owner and resident company
Please tell us any LADS activity you would like to be involved with:

Performing Directing
Front of House (Reception) Bar / Servery
Lighting / Sound Producing / Stage Manager
Set design / Construction Set Painting
Costumes / Properties Pianist / Musical
Admin / Theatre Custodian Publicity
Other (please specify):

LADS Subscription charges: If you wish to pay by standing order, please complete the form overleaf,
Member £10.00 per person which you will then need to detach and return to your bank.
Friend £5.00 per person
Online banking: Please pay to sort code 40-24-11,
I wish to pay by:
Cash / Cheque / Standing Order / Online banking (BACS) Account No. 42172925
and as payment reference give YOUR SURNAME and POSTCODE
Gift Aid
I want to Gift Aid my subscription and any donations I make in the future or have
made in the past 4 years to Ledbury Amateur Dramatic Society.
I am a UK taxpayer and understand that if I pay less Income Tax and/or
We would be very grateful if you could Gift Aid your LADS subscription
Capital Gains Tax than the amount of Gift Aid claimed on all my donations
in that tax year it is my responsibility to pay any difference. as this raises a substantial amount of additional revenue for the Society.
I understand that other taxes such as VAT and Council Tax do not qualify.
Signed: _____________________________________ Date: _____________
Signed: _____________________________________ Date: _____________

Please send completed forms and payments

(made payable to LADS Ltd.) to:
Sally Watson, 2 Russet Close, Ledbury, Herefordshire, HR8 2XR
OR post in the Theatre mail box to the left of the main doors.