GIRTON COLLEGE DONATION FORM This single form, the Girton College Donation Form, covers all donations other than subscriptions and/or donations to College Friends’ Groups. IMPORTANT – if you are a UK taxpayer, paying tax at the basic rate or above, please complete the Gift Aid declaration below, as we can now reclaim tax at the basic rate on donations (see * overleaf ).
Gift Aid Declaration Name: ____________________________________________________________ Home Address: ____________________________________________________ ______________________________________ Telephone: ______________________
Postcode: ________________
Email: __________________________
Matriculation Year: __________________________________________________ I am a UK taxpayer, paying tax at the basic rate or above. Please treat all donations I have made to Girton College (Registered Charity number 1137541) in this tax year, and in the previous six tax years, and all donations I make from the date of this declaration, as Gift Aid donations until I notify you otherwise. I understand that I must pay an amount of UK Income Tax and/or Capital Gains Tax at least equal to the tax that Girton reclaims on my donations in each tax year. Signed:
__________________________________
Date: ________________
Designation of gift I wish to donate to the Development Campaign I wish to donate to a specific fund or funds Please state fund(s)__________________________________________ One-off gift I enclose a cheque (made payable to Girton College) I wish to pay by credit/debit card: Please debit the sum of £ ______________________ from my account. Card type (e.g. Visa):__________________________ Card Number (16 digits): ______________________ Expires: ________________ Valid from: ______ Maestro or Switch Issue No.: ______ Security Number (last three figures on the reverse of the card): ________ Signed: __________________________
Date: ______________