Gift Form ............................................................................................................... Title: First Name: Surname: Home Address: Postcode: Telephone: Email: Dulwich College publish the names of donors in our alphabetical Donor Roll with no reference to amount. Please tick this box if you do not wish your name to be included. I would like my gift to support: Capital Projects Bursaries Area of greatest need Other (please state): Regular Gift By Standing Order Instruction to your Bank or Building Society to pay by standing order: Your Bank/Building Society name: Your Bank Address: Postcode: Your Account name: Your Account number: Sort code: Please pay Dulwich College Development Barclays Bank, 117 Dulwich Village, London SE21 7BL. Sort code 20-66-51; account no. 73444031 I will contribute a sum of £ a month/quarter/year for a period of years Beginning on (date) until further notice Or until: (date) Single Gift I wish to make a one-off gift of £_____________________ I enclose a cheque or CAF voucher made payable to ‘Dulwich College’ I have made a bank transfer quoting my name as a reference Account name: Dulwich College Development Account number: 73444031 Sort code:20-66-51 IBAN:GB64 BARC 2066 5173 4440 31 Swift Code: BARCGB22 Gift Aid Declaration Boost your donation by 25p of Gift Aid for every £1 you donate Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer. I want to Gift Aid my donation and any donations I make in the future or have made in the past four years to Dulwich College. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year, it is my responsibility to pay any difference. Signature: ______________________________________ Date: ________________ 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. Please complete and return this form to: Development Office, Dulwich College, FREEPOST SE6556, Dulwich Common, London SE21 7BR Tel: +44 (0)20 8299 5335; Email: development @ dulwich.org.uk Dulwich College is a Registered Charity (No 1150064) 85
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