Patrons Programme: Join and donate £500 per year

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Patrons Programme:
Join with a donation of £500 per year

Thank you for your interest in joining The Rugby Portobello Trust's Patrons Programme.

Please complete the form below to confirm your membership. Couples residing at the same address may join under the same membership.

Please contact our team with any questions: patrons@rpt.org.uk

Under the age of 40? You're eligible to join our Young Patrons Circle! Click here to learn more: www.rptyoungpatrons.org

I would like to be a Patron of The Rugby Portobello Trust and wish to donate £500 for one year. *

Please renew my membership annually for three years

First name *

Surname *

Trust/Foundation/Org. name

Phone *

Email *

First name of second Patron (if applicable)

Surname of second Patron (if applicable)

Phone of second Patron (if applicable)

Email of second Patron (if applicable)

Address *

Address 2

Town *

County

Postcode *

Gift Aid declaration: 'I want The Rugby Portobello Trust to claim Gift Aid on my donation and any donations I make in the future or have made in the past 4 years. I am a UK taxpayer and understand that if I pay less Income Tax and/or 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.'

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Patrons Programme: Join with a donation of £500 per year

Patrons Programme:
Join with a donation of £500 per year