Highgate Synagogue Building Project - Pledge Form Thank you for your generous support Please complete & return both pages of this form to confirm your support for the Synagogue Re-Building Project Please ensure the Gift Aid section is completed with Yes/No deleted as applicable Please note the intended approach to any abortive costs if the Project does not proceed as set out in the covering letter sent out with this Form Your details Name: Mr/ Mrs* Surname: Forename(s): Home address: Postcode: Email address: * Delete as applicable Your Pledge I intend to fulfil my pledge*: By a single one-off donation made immediately By a single one-off donation to be made by the following date: _________________________________ By payments of £_______ on each of the following dates: _________________________________ Other (please specify) __________________________________________________________________________ * Please tick relevant box
Highgate Synagogue Building Project - Pledge Form Thank you for your generous support Please complete & return both pages of this form to confirm your support for the Synagogue Re-Building Project Please ensure the Gift Aid section is completed with Yes/No deleted as applicable Please note the intended approach to any abortive costs if the Project does not proceed as set out in the covering letter sent out with this Form Your details Name: Mr/ Mrs* Surname: Forename(s): Home address: Postcode: Email address: * Delete as applicable Your Pledge I intend to fulfil my pledge*: By a single one-off donation made immediately By a single one-off donation to be made by the following date: _________________________________ By payments of £_______ on each of the following dates: _________________________________ Other (please specify) __________________________________________________________________________ * Please tick relevant box
Pledge%20Form%2027.08.15.docx