Oxford Jewish Congregation

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A.   Your details

Title: ………………….     Forename(s): ……………………………….………… Surname: …………………………………………………………...

Address:…………………………………………………………………………………………………………………………Postcode: ………………………..

 Preferred Tel. No. ……………………………………………       Preferred email: …………………………………………………………………….

B.   Gift Aid

 I am a/we are UK Tax payer/s.* Please treat all gifts I/we make to Oxford Brookes University from now on and for the last four years as Gift Aid Donations.

*      Please note that to qualify for Gift Aid your combined income and capital gains tax bill must equal or exceed the amount Oxford Brookes University claims back on your gift.

Signed…………………………………………………………..     Date …………………………………..

C.   Your donation

1. A single gift of £ ……………………

1. I enclose a cheque made payable to ‘Oxford Brookes University’.
2. ii.Please charge my credit card :       Amex            Mastercard                Visa                 Visa Delta                

,,

Card No.:                                                                                                                           Expiry Date:                                          

Issue number (if applicable):                    Your 3-digit Security number (can be found on back of card):

Signed: …………………………………………………………. Date: ………………………....

1. qPlease set up a regular gift for me.

Name of Account Holder: ……………………………………………………………….Bank account number: ……….……………..…………

Sort code: ………-………-……...       Name of bank/building society: ……………….…………………………………………………………..

Address: ..…………………………………………………………………………………………………………..………………. Postcode: …………….….

Please pay ‘Oxford Brookes University’ the sum of £…….. annually / quarterly / monthly*

starting on the ………... day of ……………….…………..… (month) for ……..….. year(s) / open ended. *

         * Please delete as appropriate

         Signed: ………………………………………………..……………. Date: ……………………….……....

Please return this form to:

Vicky Anderton, Gift Stewardship Officer, Oxford Brookes University, Development & Alumni Relations Office, Headington Hill Hall, Headington Campus, Oxford OX3 0BP.

FOR BANK REFERENCE:Payable to Oxford Brookes University, Development Fund

Account Number 70839574        Sort Code 20-65-18       Barclays Bank plc, Oxford City Branch, PO Box 335, Oxford OX1 3HS.

Oxford Brookes University is an exempt charity. Tax reference no.: XN 81432