1. education
2. graduate school
3. college

THE 150TH ANNIVERSARY CAMPAIGN - HOW TO MAKE A GIFT
Title ___________ First Name __________________________ Surname ____________________________
Address _______________________________________________________________________________
______________________________________________________________________________________
Telephone __________________________________________ Matriculation Year ___________________
Email _________________________________________________________________________________
Yes, I wish to make a gift to Fitzwilliam College

I wish to make a single gift (please go to Section A).

I wish to make a regular gift (please go to Section B).

I wish to include Fitzwilliam College in my will. Please send me more details.

I wish to discuss making a gift. Please contact me.
SECTION A
SINGLE GIFT

I enclose my cheque payable to ‘Fitzwilliam College’ for £ ________________________

I wish to make a gift by credit/debit card £ ____________________
Card number _______________________________________ Exp date _________ CVV Code ________
Please go to Section C to indicate the College fund you wish to support
SECTION B
REGULAR GIFT
If you are a UK bank account holder and you would like to make a regular gift to Fitzwilliam, simply
complete the following details to set up a Direct Debit:
I would like to make a gift of £ ________________________________________ (amount in words & figures)
 each month  each quarter  each year
Account Number ____________________________________________ Sort Code ___________________
Starting on  1st OR  15th month ______________________________________Year ________________
until further notice
Account Holder Name ____________________________________________________________________
Signature ________________________________________ Date _________________________________
SECTION C
HOW YOUR GIFT WILL BE USED
Please indicate how you would like your gift to be used to support the College’s activities:
 College Buildings
 Teaching Fund
 Student Opportunities Fund
 The Library
 Sport
 Music
 Chaplaincy
OR
 Use my gift to assist Fitzwilliam’s highest priority needs  Please contact me to discuss other options
CONTINUED OVERLEAF…
SECTION D
GIFT AID DECLARATION (UK RESIDENT)
I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April
to 5 April) that is at least equal to the amount of tax that all the charities that I donate to will reclaim on my
gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify.
I understand the charity will reclaim 25p of tax on every £1 that I have given.
Signature _______________________________________________ Date _________________________

My employer has a matched giving scheme.

I wish my intentions to remain anonymous, and I do not wish my name to be included on any
donor lists that may be published.
NB. Please notify us if you:
• Want to cancel this declaration
• Change your name or home address
• No longer pay sufficient tax on your income and/or capital gains
If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you
must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust
your tax code.
THANK YOU
Please return your completed form to one
of the following addresses:
Form posted from within the UK:
The Development Office
Fitzwilliam College
FREEPOST ANG 10971
CAMBRIDGE
CB3 0BR
If you are a US tax payer then gifts to Fitzwilliam made
through Cambridge in America qualify for an income
tax deduction to the limits allowed by law. Checks
should be made payable to Cambridge in America and
sent, indicating that your gift is for Fitzwilliam College,
to:
Cambridge in America
PO Box 9123 JAF BLG
New York, NY 10087-9123
Form posted from outside the UK:
The Development Office
Fitzwilliam College
CAMBRIDGE
CB3 0DG
UNITED KINGDOM
The personal data that you have supplied in this form will be used for the purpose of setting up and managing your
donation. All data will be processed and stored in accordance with the Data Protection Act 1998. By completing this form
you consent to the use of your personal data for these purposes. We will not give information to anyone outside the
College or the University and their affiliates and associated bodies unless the law permits us to do so, or we have your
express permission to do so.
The 150th Anniversary Campaign
SUSTAINING EXCELLENCE
Registered Charity No: 1137496