UNIVERSITY COLLEGE DUBLIN BOAT CLUB
UCD BOAT CLUB GRADUATE FUND
JOHN HENRY NEWMAN FOUNDATION
Name:
_________________________________________
Address:
_________________________________________
_________________________________________
_________________________________________
Tel. Number: _________________________________________
Email:
_________________________________________
UCD Class(s) of _______________________________________
Qualification(s) _______________________________________
I wish to give €________ per month / quarter / year (delete as appropriate)
to the UCD Boat Club Graduate Fund via The John Henry Newman Foundation
Name of my bank: ____________________________________
Account No.: ________________ Sort Code: __________
Signature: ___________________________ Date: ___________
John Henry Newman Foundation1810, Rittenhouse Square, B-2 West, Philadelphia,
PA 19103, USA
To my bank:
Please pay the UCD Boat Club Graduate Fund the above sum on the ________ day
of ___________ (month) 2006 and on the same day each succeeding month /
quarter / year (delete as appropriate).
Please return completed form to:
Dr Francis J Bonner,
John Henry Newman Foundation
1810 Rittenhouse Square,
B-2 West,
Philadelphia,
PA 19103,
USA.
UNIVERSITY COLLEGE DUBLIN BOAT CLUB
The John Henry Newman Foundation
TAX RELIEF ON DONATIONS, USA (Please retain for your records)
The John Henry Newman Foundation’s role is to promote and encourage research and education
in the United States and Ireland, primarily by soliciting and receiving contributions and applying
the whole, or any part thereof, for the support of educational and charitable organisations, and in
particular of UCD.
The Foundation is exempt from federal taxation under Section 501(c)(3) of the Internal Revenue
Code and is treated as a publicly supported organisation.
Donors may deduct contributions to the Foundation as provided in Section 170 of the Code.
PLEASE SEND COMPLETED FORM TO:
Dr Francis J Bonner,
John Henry Newman Foundation,
1810 Rittenhouse Square,
B-2 West,
Philadelphia,
PA 19103,
USA.