ANNUAL GIVING DONATION FORM Donor Information Name Address Suburb Postcode State Country Home Phone Mobile Email Donation Information I / we want to make an annual gift of: Please direct my support to: $100 $500 Other $ Scholarships Fund $1,000 $5,000 Principal’s Discretion Enclosed is my cheque or money order (payable to St Hilda’s College) or Please charge my credit card: Expiry Date Visa Mastercard / Name as appears on card: Acknowledgement Information Please use the following name/s in all acknowledgements: I / we wish for our gift and pledge to remain anonymous. Signature Date THANK YOU FOR YOUR SUPPORT Donations of $2 or more to St Hilda’s College initiatives in Australia are tax deductible for Australian taxpayers. For further information contact Jane Harris: Ph: (03) 9248 8423 Email: jharris@hildas.unimelb.edu.au Please return this form to: St Hilda’s College Development Office, 19 – 25 College Crescent, Parkville VIC 3052