Donation Form
My details
Title: ……………………………………………… Surname: ………………………………………………………………………………………………………...
First Name(s): ………………………………………………………………………………………………………………………………………………….…………
Address: ……………………………………………………………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………….. Postcode: ………………………. Matric: …………….
Email: …………………………………………………………………………………………………………………………………………………………………………._
Telephone: …………………………………………………………………………………………………………………………………………………………………_
I wish to make a regular gift (single gift and Gift Aid declaration over the page)
Payment details
I wish to make a regular donation by Direct Debit of: £ ………………………..
q Monthly q Quarterly q Annually
Commencing on the 1st/15th _M_ _M_ / 20 _Y_ _Y_ for a period of ………….. years/until further notice (delete as appropriate)
Please allow at least one month between the present day and the start of your Direct Debit, to allow for the payment to be processed.
Direct Debit Instruction
Instruction to your Bank or Building society to pay by Direct Debit
Please pay CAF Re Worcester College Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with CAF Re Worcester College and, if so, details will be passed electronically to my Bank/Building Society.
To the Manager: …………………………………………………………………………………………………………………….
Address: …………………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………….
Name(s) of Account Holder(s): …………………………………………………………………………………………………………………….
Account number: …………………………………………………………………………………………………………………….
Branch Sort Code: …………………………………………………………………………………………………………………….
CAF Reference: FS1135
Signed: …………………………………………………………… Date: …………………………………...
Please retain for your records …………………………………………………………………………………………………………………………………………………………………………………………………………………………………
The Direct Debit Guarantee
This guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits. If there are any changes to the amount, date or frequency of your Direct Debit CAF Re Worcester College will notify you ten working days in advance of your account being debited or as otherwise agreed. If you request CAF Re Worcester College to collect a payment, confirmation of the amount and date will be given to you at the time of the request. If an error is made in the payment of your Direct Debit by CAF Re Worcester College or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society. If you receive a refund you are not entitled to, you must pay it back when CAF Re Worcester College asks you to. You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.
I wish to make a single gift
I wish to donate £ …………………………………..
q I enclose a cheque/charity voucher made payable to Worcester College
Due to security reasons we are no longer taking credit card details on forms. If you would like to make your donation by debit or credit card, please donate online, call the Development Office 01865 278 346 or if you prefer we will contact you.
q Please contact me on …………………………………………………………………………
I would like my gift to be allocated to:
qAnnual Fund Unrestricted q Bursaries q Academic Posts and Research
q Buildings, Gardens and Grounds q Student Activities and Facilities q The Library
q The Boat Club
Recognising your gift
Worcester is pleased to recognise all donations, including legacies, in its annual listing of supporters and other publications.
q I give permission for my name to be included in future publications.
Gift Aid Declaration
Boost your donation by 25p of Gift Aid for every £1 you donate. Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. In order to Gift Aid your donation, please tick one of the boxes below and ensure your contact details are correct above:
q I want to Gift Aid this donation to the Provost, Fellows and Scholars of Worcester College, in the University of Oxford, as well as any donations I make in the future or have made in the past 4 years
q I want to Gift Aid only this donation to the Provost, Fellows and Scholars of Worcester College, in the University of Oxford
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.
Signature: ……………………………………………………………………..………………… Date: ………………………………………
Please notify us if you want to cancel this declaration, change your name or home address, or no longer pay sufficient tax on your income and/or capital gains. If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.