The ANU Fund I would like my gift to support The ANU Fund My personal details I am an ANU graduate The ANU Fund – Students first Title____________________________________________________ The ANU Fund – Innovative learning First name_______________________________________________ The ANU Fund – Research & discovery Preferred name__________________________________________ The ANU Fund – Campus life Other ________________________________________________ Please accept my gift to ANU $50 $100 $500 $1,000 $5,000 Other $ ______________________________________________ Donations over $2 may be tax deductable. I would like to make my donation by Giving securely online at quicklink.anu.edu.au/give heque/Money order as attached C (made payable to: The Australian National University) Bank transfer – for details please telephone +61 2 6125 7814 Cash Visa Mastercard AMEX Card number ____________________________________________ Expiry date _____________________________________________ Cardholder name (please print) _______________________________________________________ Family name_____________________________________________ Address________________________________________________ _______________________________________________________ _______________________________________________________ Postcode_______________________________________________ Telephone (H) ( )_________________________________ Telephone (W) ( )_________________________________ Mobile__________________________________________________ Email___________________________________________________ Acknowledgment details In donor recognition lists, I wish my/our name to read as follows: _______________________________________________________ I do not want my/our name to appear in donor recognition lists. Other information _______________________________________________________ Please send me information about including ANU in my will. Cardholder signature I have made arrangements to include ANU in my will. _______________________________________________________ Today’s date (dd/mm/yy) __________________________________ Please return this form to Alumni Relations & Philanthropy Building 71, 28 Balmain Crescent The Australian National University Canberra ACT 2601 Australia T +61 2 6125 7814 Privacy ANU is subject to the Privacy Act 1988 and the University will take steps to ensure the security of your personal information. The University will only use your personal information for the purposes of completing your donation and to keep you informed of the University’s ongoing philanthropic activities. If you would like to verify information held about you, please don’t hesitate to contact us on +61 2 6125 9945 or [email protected]. If you have questions about privacy and how the University collects and maintains personal information, please view the policy at https://policies.anu.edu.au/ ppl/document/ANUP_000446 or contact [email protected]. If you do not wish for your personal information to be used for future fundraising activities, please tick this box