Please accept my gift to the Bangor Pontifical Project Appeal
Amount
£10, £25, £50, £100, £500, £1,000, Other £………….. (please √) by Cheque payable to “Bangor University” by Credit/Debit Card
Card type: Mastercard, Visa, Delta, Switch, Other ………………………..
Account No:
Start Date: / Expiry Date: /
Switch card Issue No:
Security Code: (three or four digit number on back of card)
Name on Account: …………………………………………………………………
Cardholder’s Signature: ……………………………………………………………
______________________________________________________________________________________________________
Title: .…………………... Surname: …………………………………………………………………………….…………….
Forename(s): …………………………………………………………………………………………………………………....
Maiden Name (if applicable): ……………………………………………………………………………………………....
Address: ……………………………………………………………………………………………………………...…………..
………………………………………………………………………………………………Postcode: …..……………….……
Graduation Year & Subject (if applicable): ……………………………………………………………………………....
Tel No: …………………………………………………. E-Mail: ……..………………………………………………………...
______________________________________________________________________________________________________
Use Gift Aid to increase the value of your donation – but at no extra cost to you!
I would like Bangor University to treat all donations I have made in the last 6 years and all donations I make from the date of this declaration, until I notify you otherwise, as Gift
Aid donations.
( Please tick the box above ).
Signature: …………………………………………………………….. Date: …………….……………….
Please Note: (1) You must pay an amount of income tax and/or capital gains tax at least equal to the tax that
Bangor University reclaims of your donation(s) in the tax year. (2) If you pay tax at the higher rate you can claim further tax relief in your Self Assessment tax return.
Please return the form to : Dr Sally Harper, School of Music, Bangor University, Bangor, Gwynedd LL57 2DG