Queens’ College, University of Cambridge Donation Form Name: Address: Post Code: Matriculation Year: Preferred Telephone Number: Email: I would like my Gift to Benefit (please tick) Teaching and Research The Endowment Student support Other: please specify… Single Gift Here is my gift of £ ………………….. Method of payment: UK Cheque Sterling Bank Draft Credit/Debit Card Charity Voucher I enclose a cheque made payable to Queens’ College. Credit/Debit cardholder’s name: Credit card number: Card type: Visa Visa Credit MasterCard Maestro Delta Last 3 digits of security code (on the reverse of your card): …………………. Valid from _________/_________ Expiry date _________/_______Maestro card issue number Electronic Fund Transfer Details Account Name: Queens’ College Development Fund Bank: National Westminster, Market Street, Cambridge Sort Code: 60-04-23 A/c number: 54605342 BIC/ Swift Code: NWBK GB 2L IBAN: GB91 NWBK 6004 2354 6053 42 Regular Gift by Direct Debit Please complete this and the Direct Debit Instruction overleaf I would like to make a regular gift of £…………………….monthly/quarterly/annually making ………………..payments in total or until further notice (please tick) starting on the 1 st day or the 15 th day of …………………………………………..(please specify month and year) Gift Aid Declaration I am a UK taxpayer and I want Queens’ to treat all donations I have made since 6th April 2000, and all donations I make from the start of this declaration until I notify you otherwise, as Gift Aid donations. Signature: Date: Queens’ College is a Registered Charity No. 1137495. Higher rate taxpayers can claim tax relief in their Tax Return. Other Gifts Please send me information about making a gift to Queens’ College in my Will I have already made arrangements for my legacy to Queens’ Please tick here if you would like your donation to be anonymous I have signed the above Gift Aid declaration Please return this form FREEPOST to Development Office, Queens’ College, Cambridge CB3 9YA Thank you Queens College Cambridge CB3 9ET Tel. 01223 331944 Email: [email protected] The Queens’ College of Saint Margaret and Saint Bernard in the University of Cambridge is registered with The Charity Commission for England and Wales, number 1137495

Queens’ College, University of Cambridge Donation Form

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Queens’ College, University of Cambridge Donation Form

Name: Address: Post Code: Matriculation Year: Preferred Telephone Number: Email: I would like my Gift to Benefit (please tick) � Teaching and Research � The Endowment � Student support � Other: please specify…

Single Gift Here is my gift of £ ………………….. Method of payment: � UK Cheque � Sterling Bank Draft � Credit/Debit Card � Charity Voucher � I enclose a cheque made payable to Queens’ College. Credit/Debit cardholder’s name: Credit card number: Card type: � Visa � Visa Credit � MasterCard � Maestro � Delta Last 3 digits of security code (on the reverse of your card): …………………. Valid from _________/_________ Expiry date _________/_______Maestro card issue number Electronic Fund Transfer Details Account Name: Queens’ College Development Fund Bank: National Westminster, Market Street, Cambridge Sort Code: 60-04-23 A/c number: 54605342 BIC/ Swift Code: NWBK GB 2L IBAN: GB91 NWBK 6004 2354 6053 42

Regular Gift by Direct Debit Please complete this and the Direct Debit Instruction overleaf I would like to make a regular gift of £…………………….monthly/quarterly/annually making ………………..payments in total or � until further notice (please tick) starting on the � 1st day or the � 15th day of …………………………………………..(please specify month and year)

Gift Aid Declaration I am a UK taxpayer and I want Queens’ to treat all donations I have made since 6th April 2000, and all donations I make from the start of this declaration until I notify you otherwise, as Gift Aid donations. Signature: Date: Queens’ College is a Registered Charity No. 1137495. Higher rate taxpayers can claim tax relief in their Tax Return.

Other Gifts � Please send me information about making a gift to Queens’ College in my Will � I have already made arrangements for my legacy to Queens’ � Please tick here if you would like your donation to be anonymous � I have signed the above Gift Aid declaration

Please return this form FREEPOST to Development Office, Queens’ College, Cambridge CB3 9YA Thank you

Queens College Cambridge CB3 9ET Tel. 01223 331944 Email: [email protected]

The Queens’ College of Saint Margaret and Saint Bernard in the University of Cambridge is registered with The Charity Commission for England and Wales, number 1137495