Own a Share of London's History: Subscription Form

Please complete and send to: The Director, Centre for Metropolitan History, IHR, Senate House, Malet Street, London WC1E 7HU (For general enquiries: Tel: +44 (0)20 7862 8790; Fax: +44 (0)20 7862 8793; Email: ihrcmh@sas.ac.uk)

Contact Name: ........................................................................................   Title: ......................................

Company Name: .......................................................................................................................................

Address: ....................................................................................................................................................

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Postcode: ..............................................  Email: ......................................................................................

I/We would like to subscribe ..........share(s) of £1,000 each. Total: £..................

I/We would like to subscribe ..........share(s) of £5,000 each. Total: £..................

I enclose a cheque made payable to ‘The IHR Trust’, for £.............
       [We regret that the IHR Trust is currently unable to accept credit/debit card payments]

Payment will be made by BACS to Carter Allen Private Bank, 9 Nelson Street, Bradford
BD1 5AN; Sort Code 16-57-10; Account No. 53530100; Account Name ‘Institute of Historical Research Trust’.

Please treat all donations I make after 6 April 2000 to the IHR Trust (Charity no. 1077592), until I notify you otherwise, as Gift Aid donations. [You must be a UK taxpayer and pay at least as much income tax and/or capital gains tax as the amount reclaimed (28p for every £1 donated).]

I confirm that the above details are accurate and that I give permission to the IHR to hold them in order to provide me with information regarding IHR facilities, activities and events.

Signed..........................................................................................  Date: ....................................................