Thank you for your support of the Alumni Fund
CONTACT DETAILS
Name
Address
Suburb
Postcode
Phone/Mobile
Email
GIFT DETAILS
I/we would like to make a single donation of $
I/we would like to establish a pledge for a period of
Annual
Monthly instalments of $
years paid in
for a total donation (pledge) of $
To ‘The University of Western Australia’ to be used for the purpose of:
I/we would like this gift to support:
The Alumni Fund
Other
I/we would like this gift to remain anonymous
I/we would like to play a role in UWA’s future through a gift in my will. Please send/email me a
bequest brochure.
PAYMENT METHODS
Visit campaign.uwa.edu.au/give-now to make your donation online
Enclosed is a cheque made payable to The University of Western Australia
Please debit my
Visa
MasterCard
Amex
Credit Card Number
Cardholder Name
Expiry Date
Signature
Bank transfer
Name of bank:
Account name:
BSB:
Account number:
Reference:
Westpac Perth
The University of Western Australia – Donations
036-054
285958
AF(lastname)
NOTE: Please advise via email to development@uwa.edu.au when payment has been made to the above account.
Please complete the form and send to:
Hackett Foundation
Development and Alumni Relations
M361, The University of Western Australia
35 Stirling Highway
CRAWLEY WA 6009
Thank you for your generous gift to The University of Western Australia.
Your donation is fully tax-deductible and not diminished by administrative costs.