FRIENDS OF BYC - APPLICATION FORM

I would like to enrol as a friend of BYC and enclose a cheque, (minimum £10) for my annual subscription, made payable to Brighton Youth Centre.
Title (Mr /Mrs/ Ms)..................................................................
Surname:.......................................................................................
Forenames:.....................................................................................
Address:.........................................................................................
......................................................................................................
Postcode:......................................................................................
Telephone No: (not essential).....................................................................................
E mail Address: (not essential).....................................................................................

I am happy for my name and title to be shown on the BYC website and other publicity material; for as long as I remain a friend of BYC
Yes / No
I am a UK taxpayer and want Brighton Youth Centre to claim the tax back on all donations that I make from today until further notice
Yes / No
My connection with BYC is (not essential).....................................................................................
Signed.........................................................................................
Date............................................................................................
If it is more convenient, why not set up an annual standing order, for which purposes our bank details are as follows:
Bank:Barclays
Sort Code : 20 12 75
Account No :60149640
Account Title : Brighton Youth Centre