Donation Form
If you would like to make a donation to Newman University, please complete the relevant sections of this from and return it to:
Development Office, Newman University, Genners Lane, Bartley Green, Birmingham, B32 3NT
Thank you for your support
Personal Details
First name(s)
Surname
Title
Tel
Home address
Postcode
Email
Your Gift
I would like my gift to support:
Area of Greatest Need
Campus Development
Scholarship Fund
Student Hardship Fund
I would like my gift to remain anonymous
Newman Library
International Experience
I would like information about leaving a gift in my Will
Single Gift
I would like to make a single gift of:
Cheque
£25
£50
£100
£250
(payable to Newman University)
£500
CAF voucher
£1,000
Other £:
(payable to Newman University)
Credit/Debit Card
Visa
Delta
Solo
Mastercard
Maestro
Other
Card no.
Issue Date
/
Expiry Date
/
Issue no.
Security Code
(last 3 digits on security strip)
Regular Gift (Standing Order)
To
Bank / Building Society
Bank Address
Please pay Newman University College
Start Date
/
Monthly
£
Quarterly
Annually
/
From my account: Sort Code
/
/
Account Number
Signature
Please pay: Newman University
Date
Sort Code: 60-15-26
/
/
Account number: 93003692
Gift Aid
If you are a UK tax payer Gift Aid allows Newman University to reclaim the basic rate of tax paid on your donation, increasing its value by
25p per £1 at no cost to you. If you are a higher rate taxpayer you can claim the tax relief on your self assessment tax return.
I would like Newman University to treat this, and all future donations I make from the date of this
declaration, as Gift Aid donations.
I confirm that I am a UK tax payer and pay Income Tax and/or Capital Gains Tax at least equal to the tax that
the charity will reclaim on my donations in the appropriate tax year (currently 25p for each £1). I understand
that I can cancel this declaration at any time by contacting the Development Office.
Signed
Date
/
/
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