Vice-Chancellor’s Alumni Appeal
2013
Thank you for helping students in need
YES, I WANT TO MAKE A DONATION TO…
1
Vice-Chancellor's
Alumni Appeal
Scholarships
$
$5,000
$2,000
$1,000
$500
$200
$100
$50
Other Amount:
$5,000
$2,000
$1,000
$500
$200
$100
$50
Other Amount:
$
Alumni Park
I WANT TO MAKE MY GIFT…
2
Monthly*
Until I advise otherwise
Three years
Two years
Annually*
Until I advise otherwise
Five years
Three years
One-off
One year
*I understand I may cancel my authority for credit card charges for an ongoing pledge at any time by contacting UNSW at the contact details below. UNSW will confirm your request in writing.
YES, I want to help shape UNSW’s future through a donation in my Will. Please send me more information.
YES, I have already included a donation to UNSW in my Will.
I WANT TO PAY BY…
3
(payable to
University of New South Wales)
Cheque
Money Order
MasterCard
Card Number
Visa
American Express
Expiry Date:
Name/s on Card
Signature/s
MY CONTACT DETAILS…
Please issue the receipt in
My Name OR
My Organisation’s Name. (For organisations, please provide the Company Name and ABN)
YES, MY CONTACT DETAILS BELOW ARE CORRECT:
NO, PLEASE UPDATE MY CONTACT DETAILS AS BELOW:
TITLE
4
FIRST NAME
LAST NAME
FULL NAME
«Addressee»
MAIL
ADDRESS
«Add1»
«Add2»
«Add3»
SUFFIX
Suburb
«Town»
State / PCode
«County» «Postcode»
Work
Home
MAIL
ADDRESS
Suburb:
State:
EMAIL
Work
Home
EMAIL
PHONE
Work
Home
PHONE
COMPANY
COMPANY
Position
Position
ABN
ABN
I am a UNSW…
Student
Alumnus
Staff member
Former Staff member
Post Code:
Date of birth
Existing Supporter. My student / staff / donor ID is:
Donations of $2 or more are tax deductible in Australia. The University of New South Wales is endorsed as a deductible gift recipient. ABN 57195873179 CRICOS Provider Code 00098
UNSW respects your privacy. Your contact details and the information you provide will be used only by UNSW and only for the purpose you provide. We may also contact you to inform you about UNSW
activities of general interest. You can read about UNSW and Privacy at: www.gs.unsw.edu.au/privacy/index.html If you do not wish to receive mailings from UNSW about donations, please tick here
Please return completed form to: Mail: Reply Paid 61244, Sydney 2052 Email: unswfoundation@unsw.edu.au Fax : 02 9385 3278
If you have questions about this form, your gift, or the work of UNSW Foundation, please contact us by fax, email, or Tel: 02 9385 3202 9am-5pm, Mon-Fri.
ADMIN USE: «Constituent_ID» / 13AAMAY
*«Constituent_ID»*